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Permit (40) n CITY OF TIGARD MASTER PERMIT ' ''-° COMMUNITY DEVELOPMENT Permit#: MST2016-00602 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/23/2017 Parcel: 2S106DC00200 Jurisdiction: Tigard Site address: 17082 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 2 Project: Polygon at West River Terrace, Lot 2 Project Description: New SFA. Building/Unit 5.2 BUILDING Floor Areas Required Setbacks Required Stories: 3 Bedrooms: 2 First: 240 sf Basement: 0 sf Left 0 Parking Spaces: 0 Height: 32 Bathrooms: 2 Second: 562 sf Garage: 294 sf Front: 12 Smoke Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: Yes Total: 1362 sf Value: $169,943.16 Rear: 3.5 PLUMBING Sinks: 1 Water Closets: 2 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 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 Backwater Value: 1 Drywell-Trench Drain: 0 Other Fixtures: 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: 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 asin Other: N Other Description: Ecom p g: Y BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SFA VB R-3 1362 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) BY POLYGON WLH LLC 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 ATTN GAST,FRED VANCOUVER,WA 98660 109 E 13TH ST VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $22,887.54 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 01-0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. l i Issued By: %'- Permittee Signature: G/l! 77jz/)e.,0 e" 771--.4.1 Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • Building Permit Application �Q%� _ -RECEIVED FOR OFFI( ISE O\L1 Received Permit No/'1Si //rt)l 0422— IIICity of Tigard DateBy: /,2�02� f t� s 44 13125 SW Hall Blvd.,Tigard,OR 97223 OCT 2016 Plan Review Other Permi��� Phone: 503.718.2439 Fax: 503.598.1960 Date/By: r 1 O ' J ' /6"er 3 r G\R D Inspection Line: 503.639.4175 �r (�A Date ReadyBy: June: Id See Page 2 for Internet: www.tigard-or.gov CITY I UI T I `'RD Notified/Method:%//j- // Supplemental Information r l t � /L ®New construction 0 Demolition Permit fees*are based on the value of the work performed. Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the ;� • work indicated on this application. ^"�L 9 ❑ 1-and 2-family dwelling 0 Commercial/industrial 16`1y3$ I tic375t20.4 J I ❑Accessory building ®Multi-family Number of bedrooms: ❑Master builder 0 Other: Number of bathrooms: 2 �^ Total number of floors: 5 j ca"�D c Job site address:n Die,-L. SW Rocky Ramble Lane New dwelling are c, square feet City/State/ZIP:Tigard,OR 97224 Garage/carport area: �"^(_I�Ci C//n square feet'/J `O Suite/bldg./apt.no.:S Z I Project name:Polygon at West River Ter $ Covered porch area: a.9.4 square feet Cross street/directions to job site: Deck area: 1-2._ square feeta.L). Other structure area: 7 square feet Subdivision:Polygon at West River Terrace l Lot no.:2 Permit fees*are based on the value of the work performed. value e st )of all Tax map/parcel no.: Indicate equipment,ic ,materials,(rounded to verhead,,and theprofitfor the P 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: Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Angela Grajewski FLS plan review fee(if applicable): Address:109 East 13th Street City/State/ZIP:Vancouver WA 98660 Total fees due upon application: Phone:(360)695-7700 I Fax::( ) Amount received E-mail:Angela.Grajewski@polygonhomes.com wfE , •, 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 reviewand administrative fees): $180.00 Phone:(360)695-7700 Fax:(360)693-4442 State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: $201.60 Authorized signature: / # This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat ( *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) • 1(echanicaI Permit'Appli,ti. •• t �a k--- ii r) E OR t)E rRE E- E Si ()\1.1 i • lz. F City of Tigard Remittalr«mIt.ria,t • ee • .. 13125 SW Had!Blvd_;Tigard,OR 972.4i( j• S/ /� (�cr��vZ- `t� Phu e t}3:718.2439 Fax 503.50.1W 1 1.010 F1aeRevlrlr' Other Permit: x Sale: 503.639.4175. 1 Dai,, news,: ` ---- r•. �.�. � z• r` ie_ � ( �, ..,, "g 1bteRaM�Br )wSr @I SesrP>rCt;:for internes'xww.iigard-or,gov lI 1 )o NoifCied/M thud: Super rental Information ., Yi4'� g: T Eai '�M1 zt• •�.�y �. ,,y i � di:�tisM�S tiy-1 .115'�r..^Y c a t u'�._ N�A ........ c• fry "�as:� e,.{' iF { 0.L :�" - 4,. }, ...rs G^"r,X�...J.. L••fi5.rxna,!: ®TIeiY'constrticlitm 0 Adtlition/ail Mechanical permit fees"alue(sed on 1 value of the work ' i rep i, performed:indicate The eine(rounded to the nearest doter)of all 0 DernOlitian 0 Other. mechanks]materials.equipment,labor.61:thead,and Profit. . Witt S c T:''.[;,:•:,,..$,.'7. ;« wytx y , _ mr :t 0. `,v{� ;::...M•.,,�f.S�,�C�:�:':'�.'Mu;1FW�-•, :LL 7.-",, , 01-surd 2 family dwelling 0 Commercialmdustriai ❑Accessory building Formedal lrvJonnorlon El Male-family C3 Mister builder CI Other lription2 _r� Total n, c7g: s.a yt,., yaw •x.. sir».1g:•• r.. st , Hat coolf :s=�;c n� `aj�,�`�s'S��o�,�.>w 11,,t�� p ci i�'�`+��,.:�. �`�2 at' ���'-� Beeline/cooling: Air t�nditioning. 46.75 1I) 2. S Vcij ni , Job site:uddte�.° ` t Furnace 100,800 8'1'U(d+lces%vams1s 46.73 , C ty0.04 :10:Tigard,OR 97224 Furnace.100.000+BTU(duetsfneaes) # , 54.91.• Heat pump 1 61.06 Saite/bldgdapt.no.:c; Project name:Polygon at West River Ter Buck work i 23.32 Goss stneeddirections to job site: Hydralic bot water system 23.32 Residential boiler(radiator or `—` dronic) I 2,3.32 • lint be feis,(fuel-type,not electric), in--wait.induct:suspended,etc. 46,75 -Fleettr nt for any of.above 23.32 Uthrr 23.32 •Subdivisiax Polygon ut West River Tarmacs I l,ot roll. •tJtbtr'fad appliancetr i T **.Piucbl AIN. 7�" Waterbeaaer. 2332 I +t{ t�,s t z�' ,i •`'.�d?$V 4§ +" g, B` i tigg tn:asyy)•,.y�s des 1t t flsert .r,. .. ,,,,,..:1:.0,,.:.' p r {.'ar.a.,s w ,4... 'va33.34 u ;h•nt '4..i,�r�7s•�.41�r s• ;a'.{la:.,:..,,:.e w• i k 1t& b..t.A,.�� ,�.�. ., ..ia..'r.5i'iair ,, � - /► plub for''water ter or gas d ) • . .... Cr y I t it . ... fireplace 23.32 i a'IfiltSas} 2332 Woodipallitstave I 33.39 . • tubed fmplaealinsett [ 23.32 rte. .e 2332 • 4-,•••..,„.:•;•..:•",...s °—e fF j Z 1( V,P?"-t ,.$.:, i3 ✓tY ywa',, t.�7' ? K. 4.• i.",t ;'s t� .'' '''` Yen 3332 Chimtieg!(i6rrlllutfvcrlt • t3tlitx Euvfrcuuenttdcithaustand tiiarla Isms A.)WE.Iaqtd,Roldittgs,4.4 Rmt c iffier'did= cgsnp : . 3339 Address:7401P,g!oubletcct llianch)toad CIMbes dtyif oxhauist 33.39 City/Stale/ZIP:Scottsdale,AZ 85258 Single=dnctexhaost(bat rooms, toilettomparoneets,utility rooms) t 23,32 ?hone (6)2)694-4031 Y ax ( ) AAt� y tic erawtspace rantt i p 23.32 �•.:} �� w-"H+ r<i ,.Y,1 C 'rS, .'" g.k. v.$ of -.4.,,1'Y•,V !G 5.1't,•, .-FUN ^�,�y.1.»: Qthc r r 23.32 Business. Willi iu.Lyon Hunte$,/ate. iRues piatnz • • SILIS for fist tour;S4.03 for id additional Cciotailitame AngelaGnjewski Plinio*etc_ . 1 A'biiitasi,160*..asiBrit Stied• . _ Oas l Aralvsttspendedrtinit i ca er 1 • C%iy t Vitnstiirv'ew,•WA 98660 ' Waiaheater . rhote:•(360)E $-77e0 • I Fax::(360)693-4442 .. Ferulic e ikartge mil:!4$1:•0a1e ws pniygotthomts•com ... Barbecue 43^. <-..„ x L`-.;<. g:4 s.4k Gift M, Vc,*tw , 'S_' .ftti:4 „rt;g.c.4 ,.*; ;.: t...letiles 4,3,0(gasv 1. $irsinessitib C.4derSe6'MeeLsnical,Inc -•.°!f . �P 1. :6 ri,C., :e.,p', z,t a t ATtiE ..` •Addras: 62850 r;8a�. AV0 ar. ribtdtal (Sty/Siete/7$Turd,OR 97224 Mintinum permit fee $90.06) Plan review(25%of Plioni~fSfl3j 992-ti664. fax (503)S36r6615 State surcharge(12%ofp�it fcc) it fee) •OB iic.:1S214 x TOTAL PERT FEE This permit ane es expireslfapermit tsotobtained within 150 dip after it bat been-accepted complete_ Aidlairtvei ignatw+': s•,•. .. •` Filo iiietbfdaSogySetbyTriGsunty$uEfdi IndustrySrYvioc$nerd Priet name:Aftgiailt Grajcwski. Date{8/22/16 i'48dilbaliVii aluiiEC_etagappjiitilta.doa .440.46171(1L 2Pco .'v.'R 1 Electrical Permit Alanlxcati " ,y k- roR OPl JCL USE ONLY City of Tigard i l'd 1 nib ""' Pernai-/V._S'i 62/4, "'t'o6Ca 13125 SW Hall Blvd,Tigard,OR 97223,�, Plan Reviear Phan: 503:7182439 Fax 503.598.1960 t Da em _ Inspection Line: 503.639.4175 k JO ( 1,4 r16 t ` Ready Dateaty: baric &!Bee Page 2 for T I G h) D Internet wwatigerd-or.gov --- i t 711 t, ` \ Notified/Method: Supplemental Information -- .-�.-.. • -x:-+.:r�..'#'1. ���;."�af.3.. -W -1t?F t-.�.,u; _i ,i nb�.L!. 4, .. „4�u'.` �z1 �+,`'�"'^'��.�f� -%'�"',� �' E'New construction 0Addition/alteration/replacement cleat all that apply(subtal12 seas orphanwstemt cheated): 0 Demolition t t • 0 Service or feeder 400 amps or more 0 Belding over three stiles. Lr where the available fault current ❑bilarleas and boatyards. g•; �r4rU4C=`, -: >#r tE4ari, : -a,t``1 41 t G.1.0,;(.1 S -Z-_'--- . ' 3 ' exceeds 10,000 amps at 150 volts or 0 Floating buildings. •and 2-family dwelling 0 Commercial/frith/strial. 0 Accessory building teas to ground,or exceeds 14,000 (]Commercial-use agricultural G Mufti-family 0 Master builder 0 Other. ©p p. other installationsO Installation of!so KVA or ',/—:-'''? ,:- ''T ,'',74. 1,I ..-' s `e rg'e ',:L;s s?•lo'i v t'".=^off _i ' ter.,,,": ,AttI Cl anergencysyatew- �separately detived lob#' lob site BddiPS 0 �5 ��� �1 Addition anew motor load of system. 1 fff J i. sRa. Addition or ne ©"A",13".".1-2","1-3", City/State/21P:Tigard,OR 97224 f7 Sirs or:nonresidential units. occupancy. 013salgt•eare facilities. 0 Recreational vehicle parks. Suite/bldg./apt 1: 5 1 Project name:Polygon at West River Ter O Hazasdoas locations, O supply voltage for mom than Cross street/directionsO Service or feeder 600 amps or more. 600 votta nominal. to job site. ? rvl C; s ' Daeitdpa Qty. Each Tetaf * New residential single-or multi-family dwelling unit. Subdivision:Polygon at West River Terrrace Lot#:2„.... Includes attached garage. Tax maplparcei#: 1.000 s9•ft less i 168.54 4 )3a.add'1500 sq.ft.or portion 33.92 1 rte -_ . -::: -r� a:it 3,: "cs Y ,-iTi} `a'ti ,f, a c.:" '....'...71f-.4-7.-.&,- Limited mum residential Orty/ 1`.}�(it''Ajll,/t ruin (wltltabove sq.R) 75.00 2 1 T W 1 tlr i ( UM Y!►1 Limited energy,multi-family 75.00 2 residential(with sbovesq•ft.) F., itene tvable Enna ty 0 See Page "�"'•y f"tl ti1 Pa c 2 " =- .�-: V. d`'� =" j,.T:':'�e-i.���a ��t-:��� f -- 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 20034 2 City/State/ZIP:Scottsdale,AZ 85258 601 amps to 1,000 amps 301.04 2 Phone:(602)694-4031 1 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 I I 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 y:41:c. b f y y, r 4;x J , y ki. „ 64 ,.. tit wy -1,1: r - Branch circuits—new alteration,or extension, panel A.Fee for Brandt circuits evils Business name:William Lyon Homes,Inc. above service or feeder fee, each branch circuit 7.42 2 Contact name:Angela Grajewslri B.Fee for branch circuits tvfdrord service or feeder fee.fust Address:109 East 13th Street branch circuit 56.18 2 { City/State/ZIP:Vancouver,WA 98660 Eads add./branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(360)695-1700 ' . • I Fax::(360)693-4442 Bacharianufactured or modular 67.84 2 sip ygo dtvrdiing service asdlorfced Email:An Gr eco of nhonueacom Emmet only 67.84 2. ': `w FSC? I1 HSE {' ,I.:-..--;--':, ..-�. m:. or uiigalton cede 67.54 2 Business name:Garner Electric Washington,LLC Sign or outline lighting 67.84 2 .r.„ Signal circuit(s)or limited-energy Address:6101 NE St Johns Rd panel,alleratin%to extension. 0 See Page 2 I 2 City/State/ZIP:Vancouver WA 98661 Each ad$��inspection over allowable is any of the above Additional inspection(I hr teat) 66.25/hr Phone:(253)3204657 Fax:( ) Investigation(I hrmia) 90,001br Email:bdanielsQ,gweasa.com Indnslriaipiara(I hrmax) • 78.18/hr Inspections for whichao fee is 90 OD!lar CCB Lie.: C1158 Electrical Lis.: 208174 Suprv.Lic,: 4496S listedIambi ::...`rile,:.- - :71,1 ; � 16„, ti,-,9 :r�.tv r_`31 s? nil'--2''°'`�-:,-,t z Supty.Electrician signature,required: 2 _, ' C.&'''• , .. Subtotal: Print name: Joan P Albert Date: 4/26/2016 O Plan Review Required(25%of permit fee): e” — State surcharge(12%ofpermmit fee): '' Authorized signature: �_ - `-- ~- TOTAL PER1IITT FEE: This permit applicntlon expires if a permit is not obtainedwithin 180 Print nam= Bill Daniels Date: 4/26/2016 days after It has been accepted as complete. ':,r c.?, * Harder oflaspectionsallowed per permit i�;=it:;,t� AprE13�ERs de ax atrl7ltous 440A6I5T(11/i1 At/t4'kB �Ssai ... . • , Piumbine.Permit Applicatilsi,f,,,r,::II,lc r.. , ..._. . , . - • . . --• ... r-1.1.7.kit,.. 1LI Building Fixttires } (,[, Lo I I, i I ,•1 0\1 \ City of Tigard 00V 18 201 b Received Dateilly: - - PrzadiNorl....C7 /4.1-606,a- 11 .--7.- 13.125 SW Hall Blvd.,Tigard,OR 97223 flan Revit,,,, • Planam..50.3.7182439 Fax: 503.5trely oF 1:t,:,/L.,,,„, D.403y. Other Permit No.: -- r • ' Inspection Line: 503.639.4115 r,, ,,I ,,,,,,,i, t-,,,,,,,,- .-, md,R.,,,symy, runs. 9 See Page 2 tor Internet: www.tigard-or.gov 4.-3 t„lik,„,L1,,, ,- • , 1,4:44s.ditvicthod; . Supplemental lafarnialion su .."7.4NNI---."-''''""=-•.f. zi,'C.,4,'''. - • .- ; -, 41.'-7-.,47:,- "•'!"'"="4'7,LIT::"'::-Y4f"Nt=741.ri-VP0.1,--74,x7T-4p117: 'T..*,5x7-..tf•-tvilet:F... .7.0:47:r24, % Sqvf...A.". voi,,Akte{',,,i,'!.4, , . ..'t.1.o,, , ,.t..,1,11,,,,....-, •.:..',..':-:,'.1. - :girfV.:Pi;,.:'e-.,PaeS'.',0:.'",'ir14.?4,,4,Asi4.4,. _c., •'i',., ,e, ,6,:. .1...:a'..'.,..4.:.:-,,,.. • '..••••-•:-.e't, ,,F. "-- 41 -A'"• " ' "' -'".''''' -- '-''. For ppecial hrformaionast.thecklist. , Ell New ceasts!!etien . El Demolition - • Descripticat 1 Qty. i Ea- 1 TOug 0 A:ddition/alterationtreplacement 09ihFr: New 1-2-family dwellings(includes 100 R.for each utility orinnectioni ":1,t'e.42`;.."';'..."-:?.'77-'1.-..t.:.'-',Y.;,,4,t'.."`...4.-%141-,,,.'".7.y.,4",'..'"'"Ir.I'.,t.r•*.i'"''''•' '''''''t.; •' ' 4'' rii.,•ilitdil.s,' "647f'fp•.k. il sFR 0)ba"' 1 312.70 i-and 244innily dwelling (jiCominercial/industriai SFR(2)tath 437.78 ' SFR-(3)bath 1 50032 0 ACCCSSOrY builtling 544ulti.frunily Eackadditional bob/Miami% 25.02 0 Mao*talder • 1::)Other: Fitt*inkier(_____sq.ft.) t Page 2 ,...i"...„.,,,,,-11,..-r7,,l'7.•%.'•".'..-:!?t."",,,''''' '."'1,'xi"lr.,-,'"117--,-,-ef.,-;-'Vtt irre,,,i,..;j1M04,-:.„-e'A'14.. .•,:-It...,14,;t4 Site utilities: .-.,x"..,..'4,:-t:'•v '1.7,:.,-,-,.,,,,, . ‘,..,,,;...- __>••..,-,...‘, ••1..;e.%;;..--1... ,,,,,,,,,,,:: .-- ,-.r.',-...r-,''-.:e.,-'l'' ,., ,s .‘1,4 go 18.76 1 tajp41 t, Catch basin or arca drain Jelr al911drII9am 1 j 11 i Drylvtg,leach lint,or trench drain 18.76 City/State/Z1P:Tigard,OR 97224 ...- -• Footing drain(no.l*ear ft.: ) Page 2 • ' .•t,Stilteibldgdapt.no.:S;2,_. I Project name:Polygon afWest River Ter Mantrfactured Wm utilities , 50.03 . . 'Cross'street/dirtetiont tojob site: ' • Manholes 18.76' . . . . ,Rain drain=matelot 18,76 _.. - - Sanitary sewer(no.linear IL:____.) . Page 2 - -- . • '• Mono sewtr(no.linear ft.:____) I Page 2 Writer service(no.linear it.: ) I Page'2 Subdivision;Polygon at West River Terrrace 1 1...ot.n4S..2. , Fixture or item: -. .EfackflourPrevcsiter .. t 31.27 '•Tax naafi/Pared tio.:: I. 12.51. 25.02 On / ' bilaiote. . ..... .... . -, itOltiashcr 25 - . .... _ DrOkiag Pant .ako 25.02 . , , • - . -EcliiP;r4/54?* ..- • . . , 25.02 . _ . • • '',;...,,',,,,,,,,•74,„4,-.2•,..,....,..•,,,,;-;.-.•-•,.;,---1-;---,--,,,----;-.:,._,-,.X-'7,-.1,:',';-,;,-Nf.-;-.7,,,7Y,.:4-','-.4%-lzr-T'..''Vvg i,'‘7i7g.;:',7-:,,,.4.::41-irT,t,'7' txpailtkin tank ' 12.51 p ,,...--,,,4-,,s.:-. ,,,,,::::,._-..:,,,,..z.,:i.,..; ,1,...,:.-44,7+4,-1,-.,... .e4,F'stA.;L.::.141:Fig:.;74-':'.,717.W.I.-22. 1...:,--,•..4%.": t'fIl'0=,.. .. • ',.. ' ' . . • Fixture/sewer cap* 25.02. .14 100":Apyt.I.4110 11#111engs-,LW . 1 " . ' -Finer diiin/floor sink,/hub 25.02 Address:760.0 Paufbletrek[lunch Road . . . . .Garbage disposal 25.02 . -. ... , .. . . . City/State/ZIP;St ottadale4 AZ 867.58 . ' Hose,bib . . 25,02 .., ,.... - • . . .„, . .. ,Pitotiet 042.)ft9.4-403) , Fax:( ) let maker • 12.51 . . , ‘• •• • •,- --7s7z.,•71;•:, ..7•"4',"'itl'4•:‘, , . ,t; ...:-i-, ,..-...,....,„, Interceptoar/grds*trair ' ---..' ,,,,5,--,';',,,,::,,,,,.,,,,,...,,.,....,,..„.,,„„•„,,-. -.2 •,- -,,.,..--„:, - • • • • 25.02 --•-•.-----.:- -'-1-'..'------- -.'-- - :-"``''''''''' .---4e'''' • . , '-'----'-'' --- ' Nleilleil vs(value!S-) Page 2.. BuSintsti thit00 iVargitii 4.614 Ha*"lac , . 12.51 . 'Ceinget;nantel.,,AngeLiti Grtijelypiii . • - Roof:drain'(conunerciarl 12.51. • • 1 Add:MSS:jig Easi iMit$ti;eettirds4,41/twOors. ism ' , • • . , ... . ' City/SintetZIP:VarttotiVer,WA 9S660 ' selar Os(F9talle*eta) 62.54 Ptioncx 040)05-7104' Fax::(.3611i 693=4442 ,..,TullshOwerIshower pan 12.51 • Urinal 25.02 ,E-maili Aggdaarld!wa4114r.13°49.'nei-temWans closet . _ . , . 2502 .-;i•-:i.,-...,.:•----.•-•;.......;•::-.,,,:-_,:•-'•;;;---',-.•'7.'-•.,•.•,`3z1,,..'ens'•=•v\.••:-.."--";%'1,,..•r.e.,-,•:••:..„-.,..'v;',,,,1:•1;,...-•..;.±',:,;-%•: .,f,q:?--'•....1711' ' :: ---'`'-.;4 ' -Z,-- ,- :''4,d -'''. ' '' 7 ..''' - ''. '' • '• '''' Wider healcf37.52 - . ,B *OPMecklk1iab;Plaripli1tig LW 'WaterPOISIDWV 56.29 . Addt,'. :40 4/41,.fliklatla Colombia Mei ywy 61..11tr-. • ' 25.02 . City/State/ZIP:Trotttdjilez OR ..S7060: - ..,. . .. Subtotal . ..Fax e (50Minimure perinit fee: S72.50 _________i Phon--OBS)492'-'3491) : .1)t1;-643!1 ... . - ,. Plan review t25°41of Permit fee) CCB U04.0184601 ' !lambing tic;i10.:ro732' .. . Stale surcharge(12%of peril%fee) Atitborize4 signature: . ..TOTAL PER-MIT FEE., • -fits pet application expires'taper:nit is not ealaliteit Within 180 days I PrintIlittite:giiiieri tilion j Date.salnolf . atter it Iris been arsepted as complete. ... .. *Fee.ntethodology iet by Tri.Count5,Building Industry Service Board matitailuiantresinanuottklwaaiipp.dre loom cco-dusidemediCoNormai w City of Tigard • a COMMUNITY DEVELOPMENT DEPARTMENT III T 1 c A R n Building Permit Review — Residential ... Building Permit #: /tJ_7-1.20/6 - et9 6/1.2— Site Site Address: 170 ,Sk,vJ Rocki Pe,rA.bft Ln Project Name: Poly 1 a o co- We si- R ver- Tenrti. Lot #: 2 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Ne,,� (ft)ttr (e)t6'(nle ct m ,.KI Verify site address/suite# exists and active in permit system. .f.kr River Terrace Neighborhood: ❑ No f t'Yes,See River Terrace Review Addendum Attached Site Plan Elements: JIThree(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 $(Utility locations(required for new,may apply for additions) J31Site address,project or subdivision name and lot number ,Location of wells/septic systems ['Applicant information(name and phone number) /Existing trees to be retained with drip line,and tree fDiLot dimensions and building setback dimensions protection measures Lot area,building coverage area,percentage of coverage and [ Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) ,IStreet names [Property corner elevations(2 foot contour lines if more than 4 foot differential) tV Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ,1 No Received: ❑ Yes ❑ No V Public Facilities Improvement(PFI)Permit: Required: Yes,applicant was notified ❑ No Applied For: 'Yes ❑ No,stop intake kr Land Use Case#: PPRaU)$--0000 ti-/ su._13 0 15 — 0 00 0 k Zoning: R---1 P p NRequired Setbacks: Front l A Rear 00 Side 0 Street Side Garage _(, 1 Landscape Requirement: 2O % Di? Lot Coverage Maximum: SD 0/0 „Building Height: Maximum Height sJ/A Actual Height Visual Clearance NEasements 54 Sensitive Lands: ❑ Yes X No Type Kr Urban Forestry Plan Conditions "Met"prior to issuance of building permit Notes: LG-is ::,t 4- ki pie S tci(..i NI LA r-,) 1 U 4 ci_ Ile-'tov , 'fie v,i c cir :.s oY„; t.)- is - 1‘,. , ,icy►, Approved By Planning: CJALWL, 0.4- Date: l--- I -l tc Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: El Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\BldgPermitRvw RES 091216.docx • Building Permit Submittal Original Submittal Date: %f// Site Plans: # Building Plans: # 3 Building Permit#: Er/Enter building permit#above. Workflow Routing: KYPlanning 2'/Engineering QIsermit Coordinator wilding Workflow Sign-off: Q-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: By Permit Technician: &9. e__ Date: /. 2:7,, �/,, Engineering Review Slope at building pad: 71.: COConditions "Met"prior to issuance of building permit ,e1% W4 ( 21 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: 0 Yes 0 No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: , 12— D Date: /....0 Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit • Approved,NOT Released: 40/Kate: )(3 ( '- Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: 0 SDC Fees Entered: Wash Co Trans Dev Tax: Pa ❑ N/A Tigard Trans SDC: S Yes ❑ N/A Parks SDC: iii Yes ❑ N/A 1?a OK to Issue Permit Approved by Permit Coordinator: Date: i e// I:\Building\Forms\BIdgPennitRvw_RES_091216.docx City of Tigard " COMMUNITY DEVELOPMENT DEPARTMENT T 1 G A R D River Terrace Building Permit Review Addendum Building Permit #: A1-17;72(2/ 6 0,1- Site Address: j 7 p 8 a sw 'Waal Project Name: -Rt cl a n ctf vie s÷ 2;yr."- -re,n,exa.- Lot #: d2, (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?,N'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 ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ ❑ ❑ ❑ LX balk, .e(eve-i jts 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: .//// '' .20. q 4-R to.7 /o 3. Entrances:At least one entra ce must meet both of the following standards: IX 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: ak Yes k No If yes,all the following apply: ❑ 25 sq.ft. min. Si One street facing entry ❑ 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: gCovered porch min. 5 ft.wide x 5 ft. deep ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep S 'Wall offset min. 16 inches (3 Dormer min. 4 ft.wide 6 { Roof eave min. 12 inch projection M Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood 13 ® Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. pl Horizontal lap siding min. 3-7 inches wide 5 FA Accent siding min. 40%of street façade in Window trim min. 2 I/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 façade 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): I CI May extend up to 5 ft.if there is a covered front porch and garage does not extend beyond the front porch. Nl ,:d. ❑ May extend up to 5 ft.where the garage is part of a two-story building and there is a window at the second story ,. '' above the garage that faces the street with a min. area of 12 sq.ft. ed' Width: (Check one) L° ❑ 12-foot-wide garage door ❑ 40%max. of street façade Ea 50%max. of street façade with 7 detailed design elements Notes: itt3 Approved By Planning: __ ( Gt.b-v --, Date: //—8-I co I:\Building\Forms\BldgPermitRvw_RES_RT_062216.docx ! , Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE USE ONLI' City of Tigard Received 3/1{( i 411 13125 SW Hall Blvd.,Tigard,OR 97223 MAR 1 5 2017 y. PermitNpJ� /�_ry��i02 II Plan Review Other Permit No.:No.:lytic ( KK Phone: 503.718.2439 Fax: 503.598.1960 `t Date/By: 3--).9-I� w Inspection Line: 503 639.4175 Date Ready/By: 'Juris El See Page 2 for TIGARD CITY OF TIGAHD / Internet www.tigard-or.gov BUILQING QIVIS OIN�I Notified/Method: O( f /� me ' :-''' '' ,,,--. -i.',.ff;::'''' '':*ilSO*79P1('‘,',,-,7'-ii '„,,,- `-'%:1' '-<#.1',;-,-- -,''' - ''';'''''''''''l - ' , ' '-,W--,.-.- '.,;,, upp a nta Information ®New construction 0 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) ,3 ATI reRY`OF CONS'RU N 4- • (1)bath SFR 312.70 ❑ I-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 0 Accessory building I Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other. 3 Fire sprinkler .ft.) ( (-Z Page 2 JOB SI`Fl- IN ORMATION xI D ATIOIN Site utilities: Job site address:17082 SW Rocky Ramble Lane 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.: 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.:2 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00602 Drinking fountain 25.02 Ejectors/sump 25.02 I'71/xipIiIIT. eiiii*E Expansion tank �T'1gI�� .. � P 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 I APPLICANT '' ,,".1r...,-,'❑ CONI4CI.PERSON''' Interceptor/grease trap 25.02 Business name:Alliance Plumbing,LLC Medical gas(value:$ ) Page 2 Contact name:Robert Dishman Primer 12.51 Roof drain(commercial) 12.51 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 I Phone:(503)492-3490 Fax::(503)912-6438 Tub/shower/shower pan 12.51 E-mail:robert.dishman@allianceplumbing.net Urinal 25.02 Water closet 25.02 Water heater 37.52 Business name:Alliance Plumbing,LLC Watertin P p g/DWV 56.29 Address: 146 W Historic Columbia River Hwy Other: 25.02 City/State/ZIP:Troutdale,OR 97060 Subtotal Phone:(503)492-3490 Fax:(503)912-6438 Minimum permit fee: $72.50 CCB Lic.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee) �� State surcharge(12%of permit fee) Authorized signature: �-- 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. I:',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: .w. ) ttitid $ Tart , of et P .,;- rte' c4k, , Footing drain-15'100' 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 it Fit 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 Qtke ' Fee(ea) Total each additional$100.00 or fraction thereof,to Other Inspections or 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 a iti filatiP Fixture Te for Replace/ Plan review is required for any of the following . Work Perfor ed 'a < <N-Added _R ate` Please check all that apply. Baptistry/Font pp y Bath -Tub/Shower 0 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. Car Wash Drain �� S trje 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 Pgnit.doe City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17082 SW ROCKY RAMBLE LN, SHERWOOD, September 15, 2017 at OR, 97140 9:45:49 AM Record Type: Record ID: Residential - Master Permit MST2016-00602 Inspection Type: Inspector: 399 Plumbing final David Young Result: FA I L Comments: Caulk base of tub upper level back bath. Water pressure 60 psi. Note: for mechanical final, condensate drain to be ran into hub drain in mechanical closet. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17082 SW ROCKY RAMBLE LN, SHERWOOD, September 20, 2017 at OR, 97140 9:40:53 AM Record Type: Record ID: Residential - Master Permit MST2016-00602 Inspection Type: Inspector: 199 Electrical final Aaron Cillo-Gobel Result: PASS Comments: Corrections completed A/C installed Violation Summary: Inspector Contractor