Permit CITY OF TIGARD MASTER PERMIT
IN 11 • COMMUNITY DEVELOPMENT Permit#: MST2016-00047
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/28/2016
Parcel: 251060001500
Jurisdiction: Tigard
Site address: 13494 SW BEACH PLUM TER
Subdivision: RIVER TERRACE NORTHWEST Lot: Multiple
Project: River Terrace Northwest, Lot 205
Project Description: New SFA.
BUILDING
Floor Areas Reauired Setbacks Required
Stones: 3 Bedrooms: 2 First: 101 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 32 Bathrooms: 3 Second: 646 sf Garage: 547 sf Front: 12 Smoke Yes
Dwelling Units: 1 Third: 635 sf Right: 0 Detectors:
Total: 1382 sf Value: $170,692.97 Rear: 10
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 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
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Tvpes Air Conditioning: N Vent Fans: 4 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 1 0-200 amp: 0 0-200 amp: 0 W/Svc or Fdr: 0
Ea add'I 500 sf: 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-2 1382
Owner: Contractor:
ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions)
BY FORSUM,MICHAEL 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175
7600 E DOUBLETREE RANCH RD VANCOUVER,WA 98660
STE 1
SCOTTSDALE,AZ 85258
PHONE: PHONE: 360-695-7700
FAX:
Total Fees: $22,396.02
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987/ or 1.800.332.2344.
Issued By: Permittee Signature: 3. 19--",L i GWA7
Call 603.639.4176 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.
,
Lo r �oS ilii
Buiidm� Permit Application ``fep � .; _� __ ...
�' V F018 OF FI( l i SL OOI 1
. ���'.�' t--"" i `� b 0�6 Received Permit //-, 7
City of Tigard c<81 Date/a : �. X67 /G '—i [�
13125 SW Hall Blvd.,Tigard,OR 97223`� �O PlanRevie ) OtherPamit 1�1 _:7
O�'` Y�9t N Data/ey: 1 Tuns: See Page 2 for
Phone: 503.718.2439. Fax: 503.598.1960 1 `O �J
Daze Ready/By:
T l C \R i�
Inspection 503.639.4175 G`` `,`(`A O�, N�ed/Method 'Ty I Supplemental information
Internet: www.tigard-or.gov
gov �,``�`V�/
�_<.. - -- Permit fees*are based on the value of the work performed-
®New construction ❑Demolition Indicate the value(rounded to the nearest dollar)of all
0 Addition/alteration/replacement ❑
equipment,materials,labor,overhead,and the profit for the
Other:- ` __ work indicated on this application.
s r4
s , , Valuation:
.40° C2�
�and 2-family dwelling IIICommercraUmdustrial Number of bedrooms:
❑Accessory building ❑Multi-family
Number of bathrooms:
❑Master builder ❑Other
x � Total number of floors:3 9
i�f1 .1,.!),..4:,:i;F Ctd t�0) .t.� = � 'h , Z-a';-.` I
§etc p U� 1 New dwelling area: 1) 2 square feet 1 9 a
Job site address: 1 �q� �� 1�JC-E_7,cJl I ` �"� Garage/carport�� !-4 7 square feet
City/State/ZIP:Sherwood,OR 97140 J
Suite/bldg./apt.no.: I Project name:
R` ,( -L°r(c Ce C v) Covered porch area:-€113.
square feet 6 3 5
Cross street/directions to job site: Deck area: 18 square feet 6 4‘
Other structure area: 'j square feet )O
•
Lot no.: cg C) Permit fees*are based on the value of the work performed.
Subdivision: Indicate the value(rounded to the nearest dollar)of all
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
a �, ���-� work indicated on this application_
_ ......-.'-'---1 s _ a _ _._:-._:,--.........:-..„?..,-,z;-_ . _ ...__.k Valuation: S
New. •$ ; - a al Construction
Existing building area square feet
l'
�� New building area: square feet
'+',71.4,1,7f,'.7,'
Number of stories:
(.\1 - Type of construction:
ki Name:Polygon WLH,LLC
Address:109E 13`h Street Occupancy groups:
City/State/ZIP:Vancouver,WA 98660 Existing:
Fax(360)693 4442 New:
\ Phone:(360)695 7700
'ly -1,;,-,,, S L M - .-L_[+6. �ed, f _1_ ,.,,;,,F.. q f 1:.r`F :-.
��
Business name:Polygon WLH,LLC Structural plan review fee(or deposit):
Contact name:Maggie Gordon FLS plan review fee(if applicable):
Address:109 E 13"Street Total fees due upon application:
City/State/ZIP:Vancouver,WA 98660 Amount received:
Phone:(360)695.7700 I Fax::(360)693.4442
E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescnptrve installation of
..,, r 'f ?R i. -.,4.-....--..,--,..---,,-�._ ,4 _ .1 - roof-top mounted PhotoVoltaic Solar Panel System.
/L U/�/`� Ly0/�/ f/ /`T�3 s//��' Submit two(2)sets of roof plan with connection details
Business name• and fire department access,along with the 2010 Oregon
Address:109 E 13`x.Street Solar Installation Specialty Code checklist.
Permit Fee(includes plan review $180.00
City/State/ZIP:Vancouver,WA 98660 and administrative fees):
Phone:(360)695.7700 1
Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60
�j�CB lic.:207247 Total fee due upon application: $201.60--
UDU TUU_ This permit application expires if a permit is not obtained
Authorized signature: t&I
within 180 days after it has been accepted as complete. _
*Fee methodology set by Tri-County.:BPllding Industry
Print name:Maggie Gordon I Date:12/11/15 Service Board
1:1BuildingTermitslBUP-RESPermitApp.doc 07/24/2011
44046131(11/02/COM/WEB) _
=" -
1 —
Mechanical Permit Application 1 OR o Itt s1 0\1 "i
1 •, City of SW Balllvd.,Tigard,OR 97223 .%)Tigard ,,.,c,N5c) Rtccivod
Datra4, , 16 no 47,-7 — perma N.,:iv)5M0162--exfoli 7
13125 BEv.-
,A e Plats Rtvrew
Phone: 503.7182439 Fax: 503 598.196 4 a 7.\1115 Darrilly" Other Pertnit:
Inspection Lille: 503.639.4175 ' 53 1 v , Ready/By: Jor4 0 See Page 2 for
Internet: www.tigard-or.gov # 'fed/Method:
-vaixile\ ''
. _ Supplemental information
(TN 0,rA\AS •
,C9fitmERcut. PIPt*l :scs004 4 ME—SHICP4Sr
Mechanical permit fees*are based on the value of the work
0 New construction 0 Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all
0 Demolition 0 Other: mechanical materials,equipmeni labor,overhead,and profit_
Value:S
' ' •-tozoOatiirconsinucnoN ° , -
- , - - .- --'•
i 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building for;pedal Information use ekecitlist. '
gmulti-family 0 Master builder 0 Other: Description 1 Qty. Ea. I Total
tleatinakeinlin •
• JOH SITE INF011illATION,4ND-LOCATION - ''' 2'
.. . ,
Air conditionine 1 46.75
Job site address: I ,..PlA 3j0 .6eE-)jn‘ALA(y) -1"--ex" Furnace 100,000 RTU(d
City/State/ZIP: 1-NSL/IThik,r1_ Oa 0 R q- --\q 0 Furnace 100,000+BTU tductrAerus) , 54-91
beat pump 61.06
Suite/bldg./apt.no.; Project name:_ t:: ...\..1,,er -reff-0 CQ
Duel work - '
23.32
Cross street/directions to job site: n tjjHydronic hot water system 23.32
— Residential boiler(radiator or
hydronk) 23.332
Unit heaters(fuel-type.not electric),
in-wall.in-duct,suspended.etc. 46,75
Flue/vent for any of above 23.32
Subdivision:River Terrace Lot no.:Q 05 Other I 23.32
Other fuel appliances:
'Faxmap/parcel no.: Water heater 23.32
P .McitIVIVtz
*1 OF '.- , -- -,... ., Gas fireplace/insert ' 3339
' - Flue vent for water heater or gas
HVAC fireplace 23.32
Log lighter lgas) 2332
Wood/pellet stove 33.39 6 _.
Wood fireplace/insert 2332
Chirnueviliner/fluelvent 23.32
Other 23.32
N PROPERTY OWNER ., ' I " ' ' . O.TENANT . .
• - ° -• Envirostmental exhaust and ventilation:
Name. Polygon Range hood/other kitchen
equipment 33.39
Address:109 E le St.Suite 200
Clothes dryer exhaust 33.39
City/State/ZIP:Vancouver,WA 98660 Single-duet exhaust(bathromns,
toilet compartments,utility rooms) 23.32
Phone:(42506-7700 Fax:( ) Atticicrawlspace fans
23.32
.
T .. , a
'2!'15t.orri*t.`1 ,ir''':• -'-!.-:,i', .,..-: -''s:-f.,,T::El-comer PERSON- ' .. Other 2332
„ ..... . ,„ .. .. .
_Fuel piping:
Business name:Apes Air LLC
S14.15 for first four;$4.03 for each additional
J i
Contact name:Stael Hay Furnace.etc.
Gas
Address:2210 W.Main St.Suite 107-272 heat pump
Wall/suspended/unit heater
City/State/ZIP:Battle Ground,WA 98604 Water heater
i I
Phone:(360)342-3109 Fax::(360)326-1769 Fireplace
Range
E-mail:sraelh*spelaireo.com Barbecue
'cosnocoiti , ... - Clothes dryer(gas)
Other.
Business name:Apex Air 1..1...0 . mscamickLmturrirsicof:=Y-,' -
Address:220 W.Main St.Suite 107-272 Subtotal
City/State/ZIP:Battle Ground,WA 9$604 Minimum permit fee($90.00)
Plan review(2S%of permit fee)
Phone:(360)342-8109 Fax:(360)326-1769 , .._
State surcharge(12%of permit fee)
1
CCR lie.:203034 - - TOTAL PERMIT FEE
This permit application expires if a permit is not obtained within 180
, ,
(r^-,.-- 77"/" Ill.' - .-(''77:1/'-;:i-----
uthorized signatur : 6/1 L., days after it has been accepted as complete
A
' Err method:stogy set by Tri-County Building!otiosity Strvir:c Board
t'
Print name:Sillei bay ,...-, Date: 1128/2016 I
I,Rwhitng',Perffitts'AfEC_Penr6CAppp.3(113 fieg 430.4617T(11302,COMACEB)
Electriezll1 aikA lu ><6 i ybiz.Qtatic"Fr x*Ya "I
V`� G
13125 SW Neil Blvd.,Tigard,OR . V �,
I Phone 503710.2439 Fax: 503: fl t t w PlanRevisty nciarcd Pcnmt b;
l'.. t �O IYtel6y: /
InspectioonLino:503.639.4175 eadyDatdBy: runs: 17 sae Pago2roc
cT I GJARD Internet w w tigard-or.goY G�� �`,A,;J abed; Sopplomentot information
C` ` r` '
.:..� ,. ". .:." _ ;TtTFE OF WORK OF (_j`�`''�`` i?T.hxr ir�rli'Pi+"' .
t ®New construction 0 Addition/aleeratio aLe v Please check all that apply(submit Z Sets of plans w6lema eheckW);
❑Demolition Other, ��V" .❑Service or feeder 400 amps or more 0 Building over three stories:
‘� where the available fault current ❑Marinas ami boatyards.
CATEGORY;OP CONS T1ONt exceeds 10,000 amps al 150 volts or 0 Floefinghuildinos.
I 1 1-and 2-family dwelling [j Commercial/industrial ❑Accessory building Less to ground,or ascends 14,000 Q Commercial-use agrieoltural
amps for all other installations. buiblings_
I 01.41111i-family 0 Master builder ❑Other:
( Fua pump ❑IasmIIahon nF 150 K1rA or
JOtS SITE 1NTORIvIATON AND IOGATC�4)'I'}il t Emergeueysystem• •
largeseparately derived
Job 4: Job site address:rJ..1 t"1 f e 1t 1- CIMdhim,of cow motor load of system_
I 100NP or mote: ❑ A ..E...,1 2y, 1.3"
_" ❑Sixormore residential units, occupancy,
t City/State/ZIP Sherwood OR 97140
r ❑tiealdt vara facilities, 13-Recreational vehicle parks.
Suite/bldg./apt Ii; I Projectnarne:rtLl -efrCtce ri�J ❑Harardouslowtions, ❑SuPPIY tnitage for morn dean
13 Seniee or feeder 600 amps or mom. 6°D volts nominaa.
Cross streer/directionsto job site: 5EESC&ILaDLE '
Oncttnloa is Oly. I Each I Tata. 1.a
New residential single-or multi-fern/1y dweliing Unit,
Subdivision:River Terrace 1 Lot jg includes attached garage
— 1.000 sq.R or less I l 11.44 4
Tax map/parcel is
Ea.add')500 sq.;h.orportion Z 3292 I
y-��1 ` DESCRJ?TIO•N )I?WOSa1£ Limited energy.residential
New l 1 �1 1 i.ifl..L3 (ivithabove sq 11J 75.00
Limited enet�y multi-family ,
75.00 2
residential(with above sq.It.)
Ki PROPERTY t3LE/1'NER 1: b TENANT Renewableltue y Q SeePegea
- Service or feeders installation,alteration,anti/or relocation
Name:Folygon Homes 200 amps or fess 100.70 2
Address:10916 I3th St 201 amps to 400 amps 133.56 3
' 401 snips to 600 amps 200.34 2•
City/State/ZIP:Vancouver'WA 98660 601 amps to 1,000 amps 301.04 2
Phone:.(360)695-7700 fax:( ) Over 1,000 amps or volts 552.26 2
Email;
Temporary services or feeders husiallation,alteration,and/or
relocation
Owner installation:This installation is being Made on property that is own which is 71ot:. 7200 snips or less ! 59.36.. 1
intended for sale,tease,rent;or exchange,according to ORS 447,449,670,and 70.1. 201 amps to.400 amps 125.03 2
•
Otvaersignature: Date 401 amps to 599 amps. , 168,54 t 2
El APPLICANT I ❑ CONTACT PERSON s1 eh circuits—new alteratlon..o este;tsidn, panel
A.Fee;for branchcireedswith
Business name:Garner Electric Washington,LLC abgvoService or feeder fee Ji 7.42 2
emit ranch ciroult
Contact name:Sill Daniels 13,1'ectortninch circuits-edhmtr
Address:6101 NE St Tolins Ra service orfecdcr tee,first 5618 2
btsncheirt nit .
City/Statc/ZIP:Vancouver WA 98661 Each"aiI 1. ancllciratit 7.42 2
Miscc4lndoalltlegrviecos feeder not included}
Phone:(253)320-1657 Fax::( ) BaGlt n enntheltn utOeinodutar v,84 2
- ' , dwellbi,e,service and/or fender ba
Email:bdaniels[e�gweusu.com .;
ftec0ntsect.tsn)y 67.84. ;2
CONTRACTOR
Tunpofirigalitncircic t 67.34 2
I Business name,Garner Electric Washington,LLC Sign oranlineligIiting 672,4 2
Address:6101 NE St Johns Rd Stgnl'ci�cisit(s)'or ttrn)rzd ritergy See Pagt2 2
nanatalteiahon,or=minion,
City/State/ZIP:Vancouver VF'A 98661
•Each additional inspection over altonabie in any Of the above
tltlditioneltospettIotl(1hrinin) 66251hr I
Phone:(253)320-1657 Fax:( ) 1nv<cstigation(1 lir min) 90.00/ler
8mai1 bdanieis®glveus m Indnsinal plant(1 hr min) 78.18/hr
bispections for which no fee J,
CG'$Lie.;'C1158 cat Lic.:208174 • Sultry Lie.: 4496S speei6®lty listed('h-itrrain) 90,0011v
(r� �/��/��„ 1vI.I.C1'RiGAi.PCsINiI'1`PERS
Suprv.Electrician signature,required; , f Pi.. 11 C (' Subtotal i
Print name: Joan PAlbeit Date; all f ito ❑Plan RevieviRequbtd.25%aofpermit fee): I
State surcharge(12• %ofpetniit fee); ii
Authorized signature: = TOTAL PERMIT FEE:
Tills permit application'umpires ifa permit is sot obtained within 180 1.
Print name: EtllDanieIs Date: aa_]1t� dmysafter Ithas hues accepted ascomplete.
- ' Numberofiespectionsallowed per permit_
1:18#1d4PminhelELC Pm ELtt kApp_ EEtttedoo naves/ill/MS- 440:46151 tliadie0.itiiAy013 f
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Plumbing Permit Application
Building Fixtures G
G
` Cl of Tigard Date By: Pwaut No -}-1+
City g ��`� Da[el$y: MS/odd!
.-, 13125 SW Hall Blvd.,Tigard,OR 9722 e V Pian Review
. Phone: 503.718.2439 Fax: 503.598.19P o1F1 Date/By:. Other PemutNo.:
inspection Line: 503.639.4175 CG 8 A.6 - s re RepdylByr Juris: to See Page 2 for
r I C h! L> Internet: www ttgard-or goy ` v s ' to 'Method Supplemental information
, ': `k`?i.:,` .x %vi r�ys ••a,, C aafB. +ix :.r : ri
Ri`j'�FF. $:':... .
i; .�,.__,a special infora hon usec
t Qhecklist
_
New construction 0'D :
3
City of Tigard
i IN
r COMMUNITY DEVELOPMENT DEPARTMENT
■
T I G A R D Building Permit Review — Residential
Building Permit #: �r 516—a-ri-t 7
Site Address: (3 4 9 4 SW ee i oil PGv/Y, T r r
Project Name: QN•e,r Te rroiCj NO rill wei t- Lot #: 2-0S
(New dwelling=subdivision name;Addition or Alteration=last name of owner)
ijoTe6ierrP_
Planning Review
Proposal: (yew SFR ROW f p rr
Verify site address/suite# exists and active in permit system.
21' River Terrace Neighborhood: ❑ No ,!Yes,See River Terace Review Addendum Attached
/Site Plan Elements:
/Three(3) copies of site plan '$Eusting 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
ZDrawn 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 -E cation of wells/septic systems
Applicant information(name and phone number) ZErosion control(including drainage-way protection,silt fence
JLot dimensions and building setback dimensions design,location of catch basin,etc.)
'Lot area,building coverage area,percentage of coverage and Street names
�{impervious area (applicable if R-7,R-12,R-25&R-40) Street tree size,type and location
/Property corner elevations (2 foot contour lines if more than gEncisting trees to be retained with drip line,and tree
4 foot differential) protection measures
Z Clean Water Services-Service Provider Letter(lot platted prior to 9/10/1995):
Required: E Yes,applicant was notified ❑ No Received: ❑ Yes ❑ No
it Public Facilities Improvement (PFI) Permit:
Required: ❑ Yes,applicant was notified ❑ No Applied For: / Yes ❑ No,stop intake
fZ( Land Use Case #: PD2`Lal S - 00?OS SU 2a1J - oOot3 / Sl,(�Zo/S-vocxb
7Zoning: P--12.
V1 Setbacks: Front (2 Rear O Side v' Street Side le 3 Garage ?AD
0 Landscape Requirement:
Lot Coverage Maximum: 9 V
0/0
re Building Height: Maximum Height ii/A Actual Height 31
.Visual Clearance
Easements
B-Sensitive Lands: ❑ Yes ❑ No Type
C Urban Forestry Plan
1,9 onditions "Met"prior to issuance of building permit
Notes: con 6G-1 O u S OU-�d-1-v1 h ail y ii'ad i- 19-e Mki- )r O/ J
Peru Approved By Planning: fh t0 114-1-(A_ ( I l 0 Date: .)-/i& / I Jo
Revisions (after Building Submittal only) Reviewer Date
Revision 1: ❑ Approved ❑ Not Approved
Revision 2: ❑ Approved ❑ Not Approved
Revision 3: ❑ Approved ❑ Not Approved
1:\Building\Fonns\BldgPennitRvw_RES_012116.docx
Building Permit Submittal
Original Submittal Date: o2// /6'
Site Plans: # ///
Building Plans: #
Building Permit#: n er building permit#above.
Workflow Routing: KI-13171—Ming L veering I — ertnit Coordinator ❑ Building
Workflow Sign-off: ff for Planning(include notes from planning review)
Route Application Documents: ngmeering: (1) copy of permit application, (1) site plan, (1) building plan and
original Ian review routing form.
uilding: original permit application,site plans,building plans,engineer and
beam calculations and trust details,if applicable, etc.
Notes:
By Permit Technician: Date:
Engineering Review �1
elope at building pad: 2 16
❑ Conditions "Met"prior to issuance of building permit
❑ Easements (encroachments)per engineering conditions of approval and plat
❑ Water Quality/Quantity Facility:
Assess Water Quality Fee in-lieu: ❑ Yes )Zr
No
Assess Water Quantity Fee in-lieu: ❑ Yes �( No
LIDA Facility on lot: ❑ Yes No
❑ NOT Approved by Engineering: Date:
Notes:
Approved by Engineering: Ail I KR v LK 6 i S Date: 3- (2.1/,‘
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 � 4'
e ,NOT Released: Date: 3 fir/
Notes: /1fC Gcu tzd (f4- iva ry
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:
SDC Fees Entered: Wash Co Trans Dev Tax: Yes ❑ N/A
Tigard Trans SDC: Yes ❑ N/A
Parks SDC: Yes ❑ N/A
1.IP: •K to Issue Permit S /4'
Il�l! ����
Approved by Permit Coordinator: / Date: 3Lff
1:\Building\Fonns\BldgPennitRvw_R ES_O 12116.docx
r
i
City of Tigard
i III I
~ COMMUNITY DEVELOPMENT DEPARTMENT
T I G A R D River Terrace Building Permit Review Addendum
Building Permit #: /YET 6 cr_X-)If 7
Site Address: ( 34q4 lw 13e6icih P(u n-, Te.re-
Project Name: R..v"eX Ter rcit.2, 1\/OM/vv*11-(, Lot #: 20S
(New dwelling= subdivision name;Addition or Alteration=last name of owner)
Planning Review River Terrace Plan District Design Standards (18.660.070.1.):
1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional
element required for lots with over 60 ft. of street frontage shall be provided every 30 ft.
Porch min. 5 ft. deepBalcony w/ access 2 Window Projection Vertical Wall Offset a
ft. deep min. 2ft., 5 ft. wide mm. 2 ft., 6ft.wide Gabled dormer
L` ❑ ❑ ❑
2. Eyes on the street: a minimum of 12% of each street facing facade must include windows or entrance doors.
Percentage Shown: / 9
3. Entrances: At least one entrance must meet both of the following standards:
Max. 8 ft. setback from longest street- facing wall zr 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: [725 sq.ft. min.
Z One street facing entry p.12 ft. max. roof height above porch
Cr 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:
Z 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 ❑ Dormer min. 4 ft. wide
Roof eave min. 12 inch projection Roof offset min. of 2 ft.
❑ Roof shingles either tile or wood /121/Gable, hip or gambrel roof design
❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft. wide
'Accent siding min. 40% of street facade 'Window trim min. 2 1/2"wide by 5/8" deep
❑ Window recess min. 3 inches for all street facing ❑ Bay window min. 5 ft. wide by 2 ft. deep
❑ Balcony min. 5 ft. wide x 3 ft. deep with inside access ❑ Attached garage is 35% or less of street facade
5. Garages and Carports: May face the front or side lot line on a corner lot.
Setbacks:
Ntcloser to front or side lot line, than longest street-facing wall. ❑ Yes [2/No. If No (Check one):
May extend up to 5 ft. if there is a covered front porch and garage does not extend beyond the front porch.
, May extend up to 5 ft. where the garage is part of a two-story building and there is a window at the second story
above the garage that faces the street with a min. area of 12 sq.ft.
Width: (Check one)
7 12-foot-wide garage door l 1 Sf 441 n e1 ❑ 40%max. of street facade
.Z50%max. of street facade with 7 detailed design elements
Notes:
Approved By Planning: /11 0k?izoi #(10 Date: 1) 1 (o / 76
I:\Building\Fonns\BldgPennitRvw RES RT 012116.docx
L
Albert Shields
From: Albert Shields
Sent: Monday, March 07, 2016 2:37 PM
To: Debbie Adamski; 'Maggie Gordon'
Cc: #Building Permit Technicians
Subject: RE: River Terrace Northwest Rowhomes
Hi, Maggie,Thanks, Debbie. Right, I have these five permit applications in front of me right now and was about to send
you a note, Maggie, that because there are multiple conditions that have not been met I will put these applications on
Hold as "Approved but Not Released" until the conditions are met. Please let me know if you have any questions about
this.
Albert Shields.
From: Debbie Adamski
Sent: Monday, March 07, 2016 2:33 PM
To: 'Maggie Gordon'
Cc: #Building Permit Technicians; Albert Shields
Subject: River Terrace Northwest Rowhomes
Hi Maggie,
I was just starting to email you on these. You are correct, I don't think we notified you with the permit numbers and fee
amounts. Sorry about that. Below are the permit numbers and the amounts. The permits are being forwarded through
the review process. It looks like engineering has finished their review and they are on to Albert Shields, our Permit
Coordinator. We are proceeding with the reviews but it appears that there some conditions on the land use case that
will need to be met before Albert will allow issuance of these permits. You may want to check with him to see what
they are, so you can work on those while we are doing the building review. Albert's contact information is
albert@tigard-or.gov or 503-7182426.
MST2016-00043 Lot 201 13464 SW Beach Plum $751.34(online)/$750.00(check)
MST2016-00044 Lot 202 13470 SW Beach Plum $751.34(online)/$750.00(check)
MST2016-00045 Lot 203 13478 SW Beach Plum $751.34(online)/$750.00(check)
MST2016-00046 Lot 204 13486 SW Beach Plum $751.34(online)/$750.00(check)
MST2016-00047 Lot 205 13494 SW Beach Plum $751.34(online)/$750.00(check)
Debbie Adamski
Senior Building Permit Technician
City of Tigard I Community Development
13125 SW Hall Blvd.,Tigard, OR 97223
503-718-2450
From: Maggie Gordon [mailto:Maggie.Gordon(apolygonhomes.com]
Sent: Monday, March 07, 2016 2:13 PM
To: Debbie Adamski; #Building Permit Technicians
Subject: FW: Rowhome
Debbie—I don't think we've seen plan review fees to get this going in Building?
Thanks
1
FOR OFFICE USE ONLY-SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Letteritt l
ran m
T
s a
13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
TO: N DAT CEIVED:
DEPT: BUILDING DIVISION
OCT 31 2016
FROM: , -Ak r��}�1 CITY i n J I II ( !„1t1(,A
COMPANY: V II, L vYl I Yl \-kbOMS ` AC, BUILDING DIV1S' !
T
PHONE: � ( - d11-11-1 By: ;+1/l
RE: I �LI SUV lm �-e-r UST ° "1-1
(Site Address)oill\bn � ��� (Permit Number)
t�
kery-
(Project name or su ivision name and lot number) EL„
c9.0
ATTACHED ARE THE FOLLOWING ITEMS:
Additional set(s)of plans. Revisions:
Cross section(s)and details. Wall bracing and/or lateral analysis.
Floor/roof framing. Basement and retaining walls.
Beam calculations. fGUM,g/AJ - Engineer's calculations.
3 Other(explain):ReVec loud-s {'-{ txe,c >�
REMARKS: yi1/4P C/f Q ( -`'S O m - -
Routed to Permit Technician: Date:
Fees Due: es • No Fee Desc st.an: Amount Due:
/'L .kJ $ '/ -i
Special
Instructions:
Re.rint Permit ler PE ❑ Yes i No ❑ Done
A. .licant Notified: '�/'�
��/ Date: • � � �;�,®7�
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
Plumbing Permit Application
Site Utilities FOR OFFICE USE ONLY
II I, z
City of Tigard j t °i 1 ii 4 , Received
Date/B Permit No.: �-�y,
13125 SW Hall Blvd.,Tigard,OR 972 y' p 5 Qty/&.OLf7
Phone: 503.718.2439 Fax: 503.598.1960 Plan Revi
Inspection Line: 503.639.4175 1 Q r)j k' Date `� f>�� �fp Other Permit No.:
T I G A R D A () 11 v i Ready/By: (
Date ReJuris H See Page 2 for
Internet: www.tigard-or.gov
Notified/Method:
Tll:44 0-4. WO. �..
Supplemental Information
®New construction l�"' tDIVISION; Fors ecial in ormation use checklist
t��y?a \SDescription P f Qty. I Ea. Total
❑Addition/alteration/replacement ❑Other: New 1-2-family dwellings(includes 100 ft.for each utility connection)
ATlil#311St OOI' S + TT(Ii. ..... •
SFR(1)bath 312.70
0 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78
0 Accessory building ®Multi-family SFR(3)bath 500.32
❑Master builderEach additional bath/kitchen 25.02
0 Other:
ti Fire sprinkler(1,382 sq.ft.) Page 2
JOB''SITE 1NEORMAT rN D` OCA -'IONr' Site utilities:
Job site address: 13494 SW Beach Plum Terrace 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:NW 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: Lot no.:205 Fixture or item:
Tax map/parcel no.: Backflow preventer 3127
DES+ IIPTION OE-% *K .
Backwater valve 12.51
Multipurpose Fire Sprinkler System
Clothes washer 25.02
Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
►:4 'I opERT,y OWNED a t TE)'ANK;,, Expansion tank 12.51
Name:Polygon Northwest Fixture/sewer cap 25.02
Address:
Floor drain/floor sink/hub 25.02
Garbage disposal 25.02
City/State/ZIP: Hose bib 25.02
Phone:( ) Fax:( ) Ice maker 12.51
' 6 4i)Lac I'q'1 -•• = �, C£ �1�� 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
Address:146 V, 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
25.02
tON 1 tTt aercose
, . ,. 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
1 CCB Lie.:184601 Plumbing Lic.no.:PB732 Plan review (25%of permit fee)
77 State surcharge T(12%Lof permit fee)
EE
Authorized signature: / TOTAL PERMIT FEE
il Print name:Gavin Thomes Date:8/9/16 This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
I_\Building\Permits\PLMU-PermitApp.doe 10/01/09 440-4616T(I0/02/COM/WEB)
Plumbing Permit Application - City of Tigard
Page 2 - Supplemental Information
Fee Schedule: Residential Fire Suppression Systems:
�t �� Q 1 a} otar Square `1 ge: Pc `Ii Fee-
Footing
.moo, i t,
Footing drain-1s`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
IuafiEin* ter=� .
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
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
each additional$100.00 or fraction thereof.
(minimum charge-1/2 hour)
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*
Type w Ppo>lr ltbingnaltions
nand by FixtureT e
Fixtwe"Typeft�r Repleeei Plan review is required for any of the following.
Work Performed: Capped Added Relneate
Please check all that apply.
Baptistry/Font
Bath -Tub/Shower ❑ Any new commercial building with water service 2"and
greater,except systems designed and stamped by licensed
-Jacuzzi/Whirlpool
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 El 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„ tour eine or-Riser ser Diagram
Car Wash Drain ❑ Isometric or riser diagram is required for new buildings
Garbage -Domestic-non-food
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
Washerincrease of sewer EDUs,a sewer permit will be issued and
WaterrExtractor
Water Closet-Toilet fees assessed for the sewer increase must be paid before the
Urinal plumbing permit can be issued.
Other Fixtures:
\\up-dc2\home\gavin\My Documents\Fire Sprinklers\RT\City of Tigard Pe2mit.doc
Plumbing Permit Applica GENE
Building Fixtures
City of Tigard NOV 3 2016 R 1 r / 7/,''K
�� permit No.:�ST1ott0'ODD
13125 SW°Hall Blvd.,Tigard,OR 97223 p Review ^
Phone: 503.7182439, Fax: 50 +TIGAR.D DateBy- (kherPermitNo.:
(nspxiwLine:uce 503 639 4175 *T Date Ready/Bv surer B See page 2 for
Internet www.tigard-or.gov rgl.
DIVISION Notified/Method:ethod SePPkmenEa[Information
0 Demolition For sprint information MSC checklist
®New cortstruetionDescription { Qty. ) Ea. 1 Total
❑Addition/alteratiom/replaoxnnent 0 Other' New 1-2-family dwellings(includes 100 It for each utility connection)
il "� SFR(I)badt 312.70
�_ w ,.. SFR(2)bath 437.78
_]-and 2-family dwelling 0 Commercial/industrial SFR(3)bath 1 500.32
Accessory building 0i,(Multi-family❑ Each additional bath/kitchen 25.02
❑Master builder 0 Other Fire sprinkler(,_,sq.ft.) Page 2
t r. 1 1=5 t � a- a .6. ' a Site utilities:
r _ 2r`��,�,��� �
Catch or arca drain 18.76
lob site address:! 7 yap / cSW tr^:Lld'1 PI 7- e Q,
i leach line,or trench drain I8.76
City/5tate/Z1P:Tigard,OR 97224 Footing drain(no.linear ft.:_) Page 2
Suite/bldgiapt 110-241ci Project nam.124-"'' 1-Ott rACe N or11MJ ttc r Manufactured home utilities 50.03
Cross'street/directions to job site: < 'f?9- //, j Manholes 18.76
Rain drain connector 18.76
Sanitary sewer(no.linear It:, ) Page 2
Storm sewer(no.linear ft.:, ) i Page 2
L _ 0`• -5 Water service(no.linear ft:_) Page 2
Subdivision�� (�(�, �S'l nQ' Fixture or item: --
Tax map/parcel no.: preventer
Backflow
31.27
' M rr} i4
a t uT.c ., Clotivts washer 25.02
l; Wa c Uv" C/h11-11Y,f� Dishwasher 25.02
Drinking fountain 25.02
Ejectors/sump 25.02
7.- :;� 3. p Ex ansion tank 1151
...
Fixturdsewer cap 25.02
Name:AAVL Land Holdings,LLC
Floor drain/floor sink/tlub 25.02
Address:7600 E Doubletree Ranch Road Garbage disposal 25.02
City/State/ZIP:Scottsdale,AZ 85258 Hose bib 25.02
Phone:(602)694-4031
k74 --,14, Fax ( ) Iceer ... 12.51
' ,t � � "- � x ( , n 1z � 4Interceptor/grease trap25.02
_ .: . a ,- , � : .
.�m
Medical gas(value:S ) Page 2
Business name:William Lyon Homes,Inc
Primer 12:51
Contact name:Angela GrajtwskiRoof drain(commercial) 12.51
-
Address:109 East 13th Street Sink/basin/lavatory 25.02
City/State/ZIP:Vancouver,WA 98660 Solar units(potable water) 62.54
Phone:(360)695-7700 Fax::(360)693-4442Tub/shower/shower pan 12.51.
Urinal 25.02
E-mail:Angela.Grajewski@polyganhomes.eom Water closes 25.02
- - -:- add.x:°•Pk. ,,, _
f `r
• !t 1 r+, _, : 37:52
, •. M.�. ;�".w� -., ; „ _'�+ � � ,� � .„ Water heater
Business name:Alliance Numbing LLC Water piping/DWV 56.29
Address:146'W Historic Columbia River Hwy Other: 25.02
City/State/ZTP:Troutdale,OR 97060 Subtotal
Phone:(503)492-3490 Fax:(503)912-6438 _ Minimum permit fee: 57230
Plan review (251:4
of permit fee)
CCB Lie.:184601 Plumbing C,ic.rw.:PB732 gime suircharge of permit fee)
Authorized signature: itfit,,- TOTAL PERMIT FEE j
-1 Date:5/23/2016 This permit application"expires If a'permit is not obtained within 180 days
Print name:Robert Dishman after it bas been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board
1:1Butid l Permitstrt.tu-Pen itApp doe 10101119 44D.4616T(101021COM/WEB)
FOR OFFICE USE ONLY—SITE ADDRESS:
This form is recognized by most building departments in the Tri-County area for transmitting information.
Please complete this form when submitting information for plan review responses and revisions.
This form and the information it provides helps the review process and response to your project.
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Transmittal Letter
T I G A R D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
TO: Tom H. DATE RECE
DEPT: BUILDING DIVISION RECEIVED
CCT172016
FROM: Angela Grajewski
CITY OF TIGARD
COMPANY: Polygon Northwest
BUILDING DIVISION
PHONE: 971-212.2.1.44
RE: LIc -
13464, 13470, 13478, 13486, 13494 SW Beach MST2016-00043 LIU ir'�, Ltd L1
Plum Terrace (Building 11) '" ,/ ✓ s/
(Site Address) (Permit Number)
orthwest River Terrace Lots 201-205
(Project name or subdivision name and lot number)
ATTACHED ARE THE FOLLOWING ITEMS:
0 Additional set(s) of plans. 0 Revisions:
0 Cross section(s) and details. 0 Wall bracing and/or lateral analysis.
0 Floor/roof framing. 0 Basement and retaining walls.
0 Beam calculations. 0 Engineer's calculations.
3 Other(explain): Spaced deck detail as requested by feld inspector
REMARKS: Please pay fees owed with Trust Account. 17Co 0^/ r;:zo J6,-00010
oak-
�, O .kFCE USEO*V ':;'7 45
Routed to Permit Technician: Date: )0- j 9 - ) Initials:
Fees Due: pYes ❑No Fee Description: Amountue:
I9A IL Pe•v ,ea $ 94 , cam)
'� y $
G'
Special 1--(--&-6 i 5 OA/ i'YS-��tj b -_000 V.�3
Instructions:
Reprint Permit(per PE): ❑ Yes No ❑ Done
Applicant Notified:,471fc 1r-- Date: /V//t:. Initials
I:\Building\Forms\TransmittalLetter-Revisions.doc 05/25/2012
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13494 SW BEACH PLUM TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2016-00047
Inspection Type: Inspector:
199 Electrical final David Young
Result:
PASS
Comments:
This inspection passed at previous electrical final inspection.
AC on separate permit.
Violation Summary:
Inspector Contractor
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
13494 SW BEACH PLUM TER, SHERWOOD,
OR, 97140
Record Type: Record ID:
Residential - Master Permit MST2016-00047
Inspection Type: Inspector:
699 Mechanical final David Young
Result:
PASS
Comments:
This final passed at previous mechanical final inspection.
AC on separate permit.
Violation Summary:
Inspector Contractor