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Permit (50) CITY OF TIGARD MASTER PERMIT II 2 ' . COMMUNITY DEVELOPMENT Permit#: MST2016-00603 Date Issued: 01/23/2017 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S106DC00300 Jurisdiction: Tigard Site address: 17070 SW ROCKY RAMBLE LN Subdivision: POLYGON AT WEST RIVER TERRACE Lot: 3 Project: Polygon at West River Terrace, Lot 3 Project Description: New SFA. Building/Unit 5.3 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 Yes Dwelling Units: 1 Third: 560 sf Right: 0 Detectors: 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 RainStorm Sewer: 100 0 Tubs/Showers: 2 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 1 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: 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 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 9 -001-:090. 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: '.-0-1—e___. Permittee Signature: .1,17');/61 j* jC~ j`'c'71-1 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. •. BuildingPermit ApplicationItECEL-0 I 3 CII $ ly E FOR Oi F ICL l SE O\1.1 Received C 1111111 " City of Tigard DateBy: / % /4, Permit No �'T'o/�-a,46 13125 SW Hall Blvd.,Tigard,OR 97223 0 C T 2.016103 Plan Review Phone: 503.718.2439 Fax: 503.598.1960 Date/By: j ,�O — 3 7 then P Wr; 7/C,L� � T 1( ;�RI) Inspection Line: 503.639.4175 ���I O + jA Date Ready/By: h,rie: H See Page 2 for Internet: www.tigard-or.gov ,� i g�y`G DIVISION /// i Supplemental Information LD ®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 0 Addition/alteration/replacement 0 Other: equipment,materials,labor,overhead,and the profit for the work indicated on this application. ❑ 1-and 2-family dwelling 0 Commercial/industrial Number of bedrooms: Z Valuation. 6 9 3$ t 0 Accessory building ®Multi-family f ❑Master builder 0 Other: Number of bathrooms: Z i1r Total number of floors: 3ca' � Job site address:,',610 SW Rocky Ramble Lane New dwelling area: , /` square feet *,4City/State/ZIP:Tigard,OR 97224 Garage/carport area: „ square feet ' Suite/bldg./apt.no.:5. I Project name:Polygon at West River Ter g Covered porch area: �` i a ...c`‘....c`‘.50q 4, square feet'ca. Cross street/directions to job site: Deck area: 12 square feet ako Other str ure ai a: , 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 I ,b work indicated on this application. Valuation: $ Existing building area: square feet New building area: square feetifN ,F' 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: . fi : 9 ,a �` ,, is E € 'a (fe17;,. ` t " 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 Total fees due upon application: City/State/ZIP:Vancouver WA 98660 Phone:(360)695-7700 I Fax::( ) Amount received: E-mail:An ela.Gra'ewski of onhomes.com ° g J GAP Yg ��°�� � � � �, ,� r Commercial and residential prescriptive installation of L � � P P 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 depm tumid 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 within 180 days after it has been accepted as complete. Print name:Angela Grajewski Dat C1/2 g/(b ' FeServie methodology set by Tri-County Building Industry r I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) . • Mechanical PermitA. .14, iii rw,c11, ir: t Ou 01 I it t: i -‘1: . ,. •...,.., .. P.,:„.... V t.,,,,,, . ' . Receln:d City of Tigard OnKty: .. ,13125 SW Hall Blvd.',Tigard,OR 971 , 2 0* Plan.Review ., , ,_..P1i00e:103.7113.2439 Flue 503.598.1.,4,1\I .. 0 . ) ikati* Other Permit Insneu41013.1.1nef 503.639.4175 ' - Internet wvvw.tigard-orgov CriY Oh f- i, Notifkdimi;th4 Supplemental laforreadart PA tr. DG nivip1C1,.,:i : .iteitt,:t:14, -.VisEistliait#,AftlifeettafiritittOramiol-m" .,gi-,—I —-"..rlto40-otoxt+vqsirifgt'IowacV Metharrical permiribee are:based co trib,value of the work 014ess:'construction 0 Arldition/alterationfreplaceriiiiii' perintrited.Indicate the value(rounded IA the nearest doter)°tali alktrinlition 0 Other mechanical Materials,equipment,labor.4verbead,and profit ma' ^4,5rmtitag=-: 4,tiemitztkilly,.. ...:.:1*. .• -w,,,,;.4.wiagAti,,.,,...,. a.,a,3.-mir...gt,vgAgwo ‘z,P41:•-'4,ti,,,,;-diVERMENEVRAMMWAIMP MOM ...1,,,„9k.A.fig2A144 'N,417::—~:**A.Voto:L.::.11' „:14-01.:K*Ayag Ii 1.i'and 24tamily dwelling 0 Commerciairmdnstrial 0 Aecassori building For"eclat irtformation .checklist, 0 MiiWlY CI Mnster hinder Cl 0!her DcierintiOn J 6.ty. Ea. Total . 4t,.., .7. ,1t.::::ALVA itothlgic.c.(41.4g: I condItioning 4615 16°°100415.;:11011) s\o wtAi 12.4tAvink, ua AIM=106400 BTU(dttorsiveors) 46.75 City/ ° .Ilaard,OR 97224 Furnace 100.0004-ETO fdaasiveato I' 54,91 Heat pump 1 61.06 State/bldg./apt.no.: 5 46 Project name:Polygon at West River Ter Duct work '• i 2332 Crain inisetftrusclions to job site: Hydratic bot water system /. 23.32 Residential boiler(radiator or • . tYdronic) I , 23.32 . Unit blattalsgual-41);not electric), • . , in-vadt.in-ductsutra:Wed,etc. 46.75 . . . .,Flue/vent for airvoi above 23.32 . , Othet —1 2332 S*IvirAnn;Polygon go Viesc River Terrraf.a I Lot no. lithertrel aim/knew 1 , T0*'141412/.911*.0P-: 'Waterteater. 2132 . . • .. . , '''-' ''.:14i.1411.3r1(4'4',.rfetki:.'"'41'etV".616011117431.003516-4****(7V1intittIVCIV-Nr,13.'0 Oaslirepfaceihisert 3139 ...v.v.....,s6.4-A-.L............................,,,,........•gi.....,,.ya. _. Flue Nerd for Water heater or gas 444414S1n4tieli- COhtaltibr(969,0119e— • . OaMiace 2332 I intilainei(ims) • 1 2332 Woo&poliet slim 1 33.39 •-• • . . .. •Vinodrireriliscrt. 1 23.32 ; ChinnieWiifindflurivtat 1 , 2332 • i.jS ".... 2332,1 ,.1„i7-4.1;1.. /..,',„074n.rtji.W..',Z,-1.71.4.-:;.;', •1: •.1,;:,At»TITt'if•:`-X-Inip,a Environmental exhaust and vendratio4 llanW ADV:le14ntd..E4611nA 144 itaPt9.1)09.060-etkitOen erniiPment, I 33.39 Addrass:.7689,g po ow*Ranch Road . • tinttes dryt4exhatist A 33.39 City/State/ZIP:Seottedile,AZ 85258 -Single;c1net exhaust(bathrooms. toilet enropartMetits.utility rooms) i 23.32 Phone':..(.602)094-40,31: Fax:( ) •Attk:kilitvisoact farts i 23.32 - 1,...'''. "4:;;AfPr''''' Oilier , 2332 Ifrael piping: . 7348,000.Aait0;Witilaini..yob IfOrneStInc. . Si.4.15 for Hist(bur;S4,03 for ttch additional • cantata iitinie$Aigebt GrajewSki Fitiaok•er.e.- „, ' ' f . . • dasteat mmw ArlillossilOtBastOth Street• . • • " ' . Witilisusnendedburit heater . 1 2 . CibtS-.,..tilleWf v4nenlver,WA.,,MO . Water heater Pigaie:.(360)05-7700• Fax::PO)603-4442 .. ' FirePtate , _ Aankt &Min:,Antfla4estieyrsdrl@polygoakamesocont Barbecue • .4', .q,.'5W,4.1&2• ,.'.Q:',,,rQ•g4%5;,:c.i .,;.;.w,o,s1)sw. .v.... ,72. ..:altf:iPttW, Cirairrs dryer taasV I' - RnsinesKiiiiinkAtiderSert.Mg:thanks],Ate. Other: . . . ,-,kal.,,,. ,.0 --.r,.,:i,..,4,00-i.,:,..v. .44m0084-," Ovx.0. -i.i,*# . . r . ' tibbital . . • • . cit*BtatiO4 lizard,OR 97224 Winn=pennit fee 90.00 Plan review(2S%Oi"PaIntit, fen) Photiei 083)1914664, Fax:(503Y 5364615 State surcharge(12%of p*mit fee) „ ct,t 1i0.:108214 . . ' ' TOTAL PERMiT FEE . , ._ . - Thic permit application erptmcpermit it sot abutted within 1$0 . days after It has been amegtodr complete. ..).onirthasiised SiOdaturd: . . . , , . . ••Pea,ittedakdolegy set by Tri-Comty&ad'mIndustry Service Bond Print runnt:Aitielit 67ajewski. Ne:842(J6 •. , ... bilialiiiinniaiiEcjersilapp_616113.4ot 440463710 ti02/CONM13) 1..•.,t, .,•,..• .-'. REQ��.B v :::!ii:......;.";i ::::,...;.;1 Electrical Permit Application FOR OFFICI I.SE O\1.,\ Cityof Tigard C ov 18 201E 131 SD11 i Blvd.,Tigard,OR 9 44 , o "tDatefEt Permit ':r..f' ,//�7"t�/C� ,Q3 • • Phone: 503.718.2439 Far 50.5?4. t . , plan Renew RelatedPermit a: dd jj RRFgq e, •.;.,� s^�6,;De1elA. t • T i G n 11) Inspection Line: 503.639.4175 r. :..0 , e. Randy DatearNMI 8i Ste Page 2 for htkmt t wwar ,tigard.tlsgov Notibed/Method: Supplemental information _ :' ', 7' "", ","'.-c� �•.,W'Y.2^*_atq-7- :ri -" :%'d 'r'y`a, r'"t1; .H )1:-., _ii- I"` i-'M1i s:`:-4ffs' -�r'1": w x , t®�New construction [J Addition//alteration/replacement Rees check all that apply(sut�it 2 sets of plans Wheals checked): - i Demolition ❑Other D Service or feeder 400 amps or more 0 Building over three stories. where the available fault comma Qltitarines and 47;M r 'va A s W cx0- f_fTf 4(ofak;)z .:_s".".�- exceeds 10.000=Ps at150vas or lastldialts. •and 2-family dwelling ❑Cornmercial/iridtistriel ❑Accessory building lase to ground or exceeds 14,000 D Commercial-ase agricultural amps s. U Multi-family - ❑Master builder 0 Other ©Fin pum up.. ❑lmataBatiocove rostaltatfons bonding'lio mn of 150 KYA or .•4v _^. r _I}: 7//a av i.e '4,;4.t`-0.(0 . i1g`S;,64a7C 5 tc 0Emergeneysystem. larger separately derived rob#: Job site adt it s t A t ` Ct 1001.12 OOR oo more. motor bad of system I X07► 5 yu_'_i��t mere W 18gHFortane {,"p,• "1-2•,"1.3" City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. ❑Hoar-otrrc futilities. D oral vehicle parks. Suite/bldg./apt.#:5,5 Project name:Polygon at West River Ter ©Hamtions locations. D Supply voltage for more than ❑Service or Feeder 600 amps or more 600 wits nominal. Cross street/dilutions to job site: x ;2}� ;�'ii,Y 3� ��Jtg,WLai,Ae44--',',.;^! 4$t.ti _ noniettoa Qty. I Ranh Toter • New residential single-or multi-family dwelling unit; Subdivision:Polygon at West River Terrrece ! Lot#:3 Includes attached garage. Tax roup/parcel# 1.008 sq.ft.or less i168.54 4 Pa.add'15Do aq.fk or portion ion 33.92 1 '---1-,:":". ."- t • 2r5iv1))=r`r%Ll 0_--C '._.9:1:0aJ-4 ;K ."e1:x �7N.4 -tiLimited enrgy,residential 75.00 2A /farJt (with above sq.ft.) Celr-tha Limited energy,muiti-family 75.00 2 residential(with above:sq.ft.) .<.. > a a:'p; a' z _ �, �fi _>;� r� Renewable Energy El See Pagc2 j r ;.� 51 ?9t:7-- , ,.-�?�--,;, Services or feeders installation,alteration,and/or relocation Name:ADPL Land Holdings,LLC 200 amps or Jess 100.70 2 Address:7600 E Doubletree Ranch Road 201 amps to 400 amps 133.56 2 • City/State/Z P:Scottsdale,AZ 85258 401 amps to 600 amps 200.34 2 601 amps to 1,000 saps 301.04 2 Phone:(602)694-4031 I Fax:( ) Over 1.000 amps or volts 55226 2 Email: Temporary services or feeders installation,alteration,and/or •. relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 5936 I I I intended for sale,lease,rent,or exchange,according to ORB 447,449,670,and 701. 201 arms to 400 amps 125.08 2 Owner signature: Date: • 401 amps to 599 amps 168.54 2 r,..4`„-i`. ".4.,: x'3 7. 4.6-.vat r,. ' ,t;.x'-.,i06 `',:"G"*.i shy. 9x..,,6-e,'r F.4f�.-�,1* '., 0 5;4,�A ` Branch circuits—new,alteration,or extension, ,_ panel -•� .,..,net; Feu fol Manch circuits wirh Business name:William Lyon Homes,Inc. above service or feeder fee, Contact name:Angela G ewslrl each branch circuit 7.4z 2 $ nil B.Fee for branch circuits without service or-feeder first Address:109 East 13th Street b fee, 56.18 2 City/State/ZIP:Vancouver,WA 98660 Each add'/branch circuit 7.42 2 Miscellaneous(service or feeder not Inducted) Phone:(360)695-7700 ' ' ' I Fax::(360)693-4442 Each manufactured or modular 57.84 2 dwelling,service and/or feeder Email:Angela.Grajewsid@polygonhomes.com Reconaect t y 67.M 2 . -,-;2;J:-'`-,---11`:'' X.:..fl��a a ,"rr. y^ Pump or irrigation circle 67.84 2 Business name:Garner Electric Washington,LLC alga or outline lighting _ 67.84 2 Address:6101 ATE St Johns Rd:. Signal CKs)or limed mugs 1:3 See Page 2 2 panel,alteration.or tcGansion. City/Statrl, Vancouver WA 98661 Each additional inspection over allowable in any of the above Additional inspection(1 br min) 66.25/hr Phone:(253)320-1657 I Fax:( ) Investigation(1 iambi) 90.0W hr Email:bdauiels@gwensa.coln industrialplant(1]train) • 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 0158 1 Electrical Lie.: 208174 I Suprv.Lica: 4496S spec listed it hr min er + .:- '\— OS k,!.jl :?; 3 _iii'e.1:1- . '-' ,Suprv.Electrician signature,required: //' p — . Subs: Print nffine: Joan P Albert Date: 4/26/2016 D Plan Review Required(25%of permit fax): '; Stats surcharge(12%ofpermit fee): riV'c`6•' --- TOTAL PERMIT FEE: Authorized signature: � "�- - M ,;?.,;:, This permit application expires if a permit is not obfxlned within 180 °'' Print name: Bill Daniels I Date: 4/26/2016 days after It has been accepted as complete 151:''':}?;: 1 ¢.':i • Number of inspections allowed per permit. L1,.. }Audi CParaftApp ELR EltE.dac Revo6n7nols 440-t615ttr1/051CoMtwaa . ..__ Piumbina Permit Applicatil©n #, - -...., . . i �,. y.,. k/ r i {!l: (!l F i tit )�i i Fucttlres . .-, suila��l ; Received p .. - City o[Ta11 B Vd f' '- Vie" I Ain ` 7�s Mao Review I • 1312.1 SW Hall Blvd.,Tigard,OR 97Z��`� Osher£'ermit Na' Pi>a .:503.783439 Fax 503.59,11.19f),0_ t Date/3y: v IrkOth See Page 2 for Inspection Line: 503.639.4175 S.r Caste A� SappinaenW Isfarmanau Internet: wzvw.tiprd-or gm' r, 4 `r i S v : t , yi. '''''',7".72:415t... ap 2: d i• .:1?. } OM1 •x tens.� ::<x i.5 .• } • ".+w aGf "� ]° • _ _ .. For special.hrft►nnationiserherk!st. ®New 0.00tilr 0 Demolition Description i Qty. 1 Ea. i Tom. • New 1-2.fancily dwellings(includes 100 IL for each MAR °anneciionl 1 0 AddtbaaJalterasiodreplacrsstent , w ;-,1 Other: SFR(I)bbath312,70 ir„$+�„,.. .,s'r ... ,' r r? '' P.6i,tea,.:,57� m.� F+an �a:,�"a`vkna,$ "�R'v 437.78 �i�s;:'i,..��r�.. . �,r .' . ,��..md•:u:�s..,:= w SFR(2)hathl-mtil.2rtlimily dwelling Q Comrner«aliindtrial "SFR(3)bath 1 1 50032 AceesSory building P alti-dimity Eads additional baddkitchen 25.02 ❑Other Fire Sprinkler,(____sq.ft.) Paige 2 ©Maiatt T nhutde"r x 5 �.-<; q c �s (� 2 4�� s , Site ut ties: FK: a Si e a tom! 4bG T.l t 'i,," ,5.. 14 x-'•cl°t =i ii.w - 18.74 Y, ,.: VA g Catch basin arena drain Job site•nddss: U�i(♦ � i �ifuC� i Drywall,leach line.or trench drain 18.76q .C..... tate/ZlP•Tigard,OR 97224 Footing drain(no.linear it.:_) Page 2 Project Polygon at'Wes�t River'ier Manufactured home utilities 50.03 ;.s4iite/bWg.lapt.�� �j�J � j 18.76 direcurms to job site: M� Cross'streetl Rain drain connector 18.76 -' Sanitary sewer(the.linear ft.:„_,,,,) Page 2 • • f Storm sews Eno.linear ft.:.—.1 Page 2 Water service(no.linear it.:*. Pagel Lot no.: Fixture or item: i Subdivisio»�;P[alygon at Wes#River7errrace g` ow.preventet31.27 •C-• m ra -„—.•nal5 '-''F -.. p e , :Ser ' a z "?--;�,Y`7 3` •....• Nat• . .. va1VC I 12.51 x } + b�.. S •i-,.. _. .,_..1-2..t.5:. .-b CIObtes!father 25.02•. �- / �i - / 25.02 Dn�`Y(�!✓1! i)isttfwastier , . pFIrXtnakTCnlgSCf1oYC7ntain 25.02 - 25.02 -:,;;„„...„..„,...._„„....1::„.7_,,,.:;.,;,,J:cp. 6F..," �Y] "� "w7Z.F s:4- i . `' aituontank a , }. nx � Tre5 . 12.51 0 AU1an1a ,lG her • 25.02 Address:7btb L..,••kr alr le#reC Ranch Rj•sad .. • • " „,.q G arbage c is Phi 25.02 2 • City/State/ZIP;Scans AZ S1258 Hose,bib 25.02 .... — • Phboe 2)694-04 Fax ( ) 1ce maker . .,3 a rJsrtc � tn.t X4�t , '+ lat6ltxttgrlgteaetrap I 125 C 25.02 • i$ t ss ra(leWiiityii Hotta,lie. Sal(valuel ) Papa 2 ;!rimer 12:51 1 Cca t; :Aljeti Geilirvsit Rfi] ii(conunacieI) 12.51 • bOe • A ion s stineet u t';,*µy �_ lA:YR9PAt7i'Ci's WA:. 25.02 1 $iiiolfavato�Y.. Solar units(potable water) • 25.02 T 12.51 • Pitiw:($ 6)65 7700' Fax :( 69ublshowerlslow pen , 25.02 • Urinal • attall age eltlewsl iOrly8tne h9"36'4om -. ,-,•:,:-....-.,--....,,,,,-,:' •.-1,....-,,,c, .,-,„,,, -,,;-•, .YCry.:e, r ' an ' ' s j _ 2 * _ d .a,�,W„�i�, M:.«�= ✓ -�.,w. ..:,.. W7Chealer Ct ... 37,5 2 B6unes3 tAI inc PNiBidg LIG29 WaifrpipithglD _ , 25.02 AddreSs:•,146 W Fliitotsc YColnaabli.1 suer Hwy Subtotal City/State/ZIP:..... ',, ,,bink,,48,97.060; - Minrntum permit fee $7250 Phone(,Sg••. 492-31!90 Fax (503)112-6!13$ Plan review (25%of penult 94 ' SCS Lic«;i$ 601 Pitt..... . State satds2rge 12°/of pexbr Lk;no:!28732` , lee) „. ..„. Ctlth,Ciz d Shalrac: ' D AL PERMITF EE DThiste} application expires eesifa: nix is a1#uaedWithin ISO days FhittritRdbectasbmIfi l ans.ii UM been accepted m complete. •Fee.methodology''MtbyTr1-County Building lndastry Service Board UstiAdinitPernatniPLMtPf'd+oiaAppAoc iWPi/OF aao.tatsr(tdav[ ) or City of Tigard n COMMUNITY DEVELOPMENT DEPARTMENT 111 l; r 1 c A R D Building Permit Review — Residential Building Permit #: /`S S rt/6 - oe c 3 Site Address: 170-7 0 S vJ AockLi kc wtb(- Lel Project Name: Tole a.-, to+ vi e i f i\rf - -Teo-act., Lot #: 3 (New dwe =subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: Nle"; (-cpur p(e+F-) Si n cj le -�c�rA di 0.- tch c A . Verify site address/suite# exists and active in permit system. River Terrace Neighborhood: ❑ No f 'Yes,See River Terrace Review Addendum Attached Site Plan Elements: J 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 Drawn to scale(standard architect or engineer scale) floor elevations North arrow $IUtility locations(required for new,may apply for additions) ATSite address,project or subdivision name and lot number ZiLocation of wells/septic systems ('Applicant information(name and phone number) /Existing trees to be retained with drip line,and tree f Lot dimensions and building setback dimensions protection measures L Lot area,building coverage area,percentage of coverage and I -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) tV Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified No Received: ❑ Yes ❑ No V Public Facilities Improvement(PFI)Permit: Required: Xr Yes,applicant was notified ❑ No Applied For: fYes ❑ No,stop intake ti?" Land Use Case#: PPR au i5--ovoo Li-I su.t3 a o 15 -- O 00 O Zoning: R-J Pp NI Required Setbacks: Front I, Rear Apo Side 0 Street Side Garage 3_(✓ I 10 Landscape Requirement: 20 % ..kr-Lot Coverage Maximum: p ,Building Height: Maximum Height N/ A Actual Height kr Visual Clearance al Easements Sensitive Lands: ❑ Yes K No Type KI Urban Forestry Plan 211 Conditions "Met"prior to issuance of building permit Notes: 1..44 : 43 .,t,-Jhd rylc:v,iv;w.,,, I6-t Cvr2rcv e.v-i_it ch pv'n sd..i i,,n', Hca. 0 _IJ -I b . Approved By Planning: ', tl t ,,,Q _ CGA;t.v Date: ID -1, - I(4 Revisions (after Building Submittal only)0 Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Fonns\BldgPermitRvw RES_091216.docx r Building Permit Submittal Original Submittal Date: /e/jr://k, Site Plans: # 3 Building Plans: # 3 Building Permit#: [enter building permit#above. Workflow Routing: D--Planning p--Engineering e--Permit Coordinator .I:I-building Workflow Sign-off: EYSign-off for Planning(include notes from planning review) Route Application Documents: R 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: A: Date: /..2/02/2,, Engineering Review J Slope at building pad: ii Conditions "Met"prior to issuance of building permit p( fil6.1 2f 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: 0 Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approved by Engineering: Date: Notes: Approved by Engineering: /4/ 17 Date: `S Z)-- Revisions (after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review ❑ Conditions "Met"prior to issuance of building permit ) )Approved,NOT Released: MI/ Date: /3/1 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: DC Fees Entered: Wash Co Trans Dev Tax: 2Yes 0 N/A Tigard Trans SDC: Yes ❑ N/A Parks SDC: Yes ❑ N/A OK to Issue Permit Approved by Permit Coordinator: /4/Date: .l/i /V--- I:\Building\Forms\BldgPermitRvw_RES_091216.docx • City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT I T 1 c A RD River Terrace Building Permit Review Addendum Building Permit #: S�.�O1/E eo 6 n_,_; Site Address: 170 -7 0 S t,J .1 o c,IcAl `Ra rn.b le- L,vi - Project Name: 1 0 Li C) o n a+ Wes{- pc, v e Terme Lot #: 3 (New dwelli —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 El No 1.Articulation: a minimum of 1 element per each street-facing façade 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 ❑ ❑ ❑ ❑ i (.)64114 tie v04 eu- 2. Eyes on the street: a minimum of 12%of each street facing façade must include windows or entrance doors. Percentage Shown: aA. i. 4- I(p . 1 lv 3. Entrances:At least one entrance must meet both of the following standards: kMax. 8 ft. setback from longest street- facing wall �'f'arallel 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. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch ❑ 5 ft. depth min. Cl 30%min. porch roof coverage 4.Detailed Design:All buildings shall include a min. of five of the following elements on all street-facing façades: ►J i'Covered porch min. 5 ft.wide x 5 ft. deep ' ❑ Recessed entry area min. 5 ft.wide x 2 ft. deep ;SP Wall offset min. 16 inches B aDormer min. 4 ft.wide zRoof eave min. 12 inch projection 13 l Roof offset min. of 2 ft. El Roof shingles either tile or wood (3 ar Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. j'J 0 Horizontal lap siding min. 3-7 inches wide 5 I Accent siding min. 40% of street façade eWindow trim min. 2 1/2"wide by 5/8"deep ❑ Window recess min. 3 inches for all street facing Cl 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): N \), t ❑ May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch. 4-fkilk ❑ 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. \, a`\ Width: (Check one) ❑ 12-foot-wide garage door ❑ 40%max. of street façade 4e 50%max. of street façade with 7 detailed design elements Notes: Approved By Planning: Mektift......., 0 Date: ID —I a —I I:\Building\Forms\B1dgPermitRvw_RES_RT_062216.docx Plumbing Permit Application Site Utilities RECEIVED FOR OFFICE I. ONLY City of Tigard MAR 15 2017 Received 3 /6,82 ��2 /. S /6. 9 2 . DateBy ( 111/( Permit No � 13125 SW Hall Blvd.,Tigard,OR 97223 Phone: 503.718.2439 Fax: 503.598.1 Plan Reviewf'Y OF TIGARD Date/By: 3-art' 1 q f Other Permit No.: Inspection Line: 503 639 4175 TIGARD BUILDING DIVISION Date . ' Ready/By. � 7` EJuns ® See Page age 2 for www tigard or gov Notified/Method: SupplementalInformationormation1 4� z ',,-i,17 ;,� A O W �z1 F , SC DL ®New construction ❑Demolition For special information use checklist Description Qty. Ea. Total ❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) itTE O Y OF I OiN5'T'RUCTION SFR(1)bath 312.70 ❑ 1-and 2-family dwelling ❑Commercial/industrial SFR(2)bath 437.78 SFR(3)bath 500.32 ❑Accessory building I Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 OtherFire sprinkler(.1 -q.ft.) (3 ,2 I -' Page 2 DIFOR", InON ANTI LOCATION _. Site utilities: /', Job site address:17070 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.: 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: I Lot no.:3 Fixture or item: Tax map/parcel no.: Backflow-preventer 1- 31.27 oBackwater valve 12.51PEN IPTIiN OF O ,, Clothes washer 25.02 Multipurpose Fire Sprinkler System Dishwasher 25.02 Permit#MST2016-00603 Drinking fountain 25.02 Ejectors/sump 25.02 Et PROPER` OWNER -v C TENANT' ' ,' • Expansion tank 12.51 Name:Polygon Northwest Fixture/sewer cap 25.02 Floor drain/floor sink/hub 25.02 Address: Garbage disposal 25.02 City/State/ZIP: Hose bib 25.02 Phone:( ) Fax:( ) Ice maker 12.51 ll APPIIdA1T '_ ,.-44:z!''''' c43IiltiT o 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 "" ; f. Water closet 25.02 ' ,,,,CONTRACTOR „ Water heater 37.52 Business name:Alliance Plumbing,LLC WaterPip i 1n 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 Plan review (25%of permit fee) CCB Lic.:184601 Plumbing Lic.no.:PB732 State surcharge(12%of permit fee) Authorized signature: /1/4.--7--..1s-7Z_--) 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\PLMTJ-PermitApp.doe 10/01/09 440-4616T(10/02/COM/WEB) Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: ite tilitie r •(eilt Total oot ge t . . Footing drain-151 100' 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 S stems: Water Service-each additional 100' 37.52 - Storm&Rain Drain-1st 100' 62.54 la: 7„ $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 littkjC .,; or Vieeach additional$100.00 or fraction thereof,to ... Qty+..: lltt�' llu$:Ga 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 byFixture Type : t R till �li>l� ltlg tftatiO Fixture Type for RePleleel Plan review is required for any of the following. Work Performed: • Capped Added Relocate Please check all that apply. Baptistry/Font 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 0 Any complex structure as defined in OAR918-780-0040. Eye Wash Floor Drain/sink -2" Submit 2 sets of plans with any of the above. -4,' Car Wash Drain Garbage Domestic-non-food 0 Isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related Ice Mach./Refrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/Lav -Non-food related -Bradley -Commercial-food related -Service Swimming Pool Filter *Note: If the fixture work under this permit results in an Washer-Clothes Water Extractor increase of sewer EDUs,a sewer permit will be issued and Water Closet-Toilet fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. Other Fixtures: \\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard P22mit.doc City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 17070 SW ROCKY RAMBLE LN, SHERWOOD, September 20, 2017 at OR, 97140 9:52:41 AM Record Type: Record ID: Residential - Master Permit MST2016-00603 Inspection Type: Inspector: 299 Final inspection Aaron Cillo-Gobel Result: PASS - CofO Comments: Final erosion control passed Street tree certificate received Moisture content form received Moisture barrier acknowledgement form received High efficiency lighting form received Insulation certification verified Blower door and/or duct seal test certificate verified C of 0 left on counter. Violation Summary: Inspector Contractor