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Permit (78) 1,11 CITY OF TIGARD MASTER PERMIT COMMUNITY DEVELOPMENT !o+ 1 ' Permit#: MST2016 00286 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016 T I(.A It.C r g Parcel: 2S 104AC 10900 Jurisdiction: Tigard Site address: 13340 SW DOE LN - Subdivision: Lot: Project: Walnut Ridge, Lot 10 Project Description: New SF. 9/21/2016: REPRINT permit to add 4th bathroom(shower stall, lay and water closet). 10/5/16, REPRINTED to remove(1)hose bib. 10/24/16 REPRINT to add fireplace. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1699 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3422 sf Value: $410,729.21 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 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: N Vent Fans: 5 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 add9 500 sf: 6 201-400 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 SF VB R-3 3422 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 A Geotechnical report is BEAVERTON,OR 97006 required before the footing 3 Fire Sprinklers Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,562.09 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. ATTE •L: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0r 0 through a AR 9 1-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344. i Issued By: Permittee Signature: W %• ;i'tom f 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 Applica 6 14 Residential 1.0H 01.1.1c is.ICSH:0\1.1 J U N 2 8 2016Cityof Tigard Received ��7/,J Date/By i" 41i*, Permit Nes„....-pa,,,s� r7,, i • 13125 SW Hall Blvd.,Tigard,O + i Plan Review . ' Phone; 503.718.2439 Fax; SQ� Dare/By: 7- n.14 —±-' 7_ n•1 / OtherPermS 4,,t/ 2e9��0 0 � D@@lWN ltli,\1t ) Inspection Line: 503.639.41751 Date Ready/By: p �/n ��,�j Jure ® See Page 2 for Internet: www.tigard-or.gov Notified/Method. 0 '� I�Y l t rel , Supplemental Information '',474,44 � Jul •"ra5r*'o44 _u ; `fid 1..'' � � a F"�, r4..,— �rr kit s ':Y ra ®New construction ❑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 b ,u1.it " =' a.4x. 1. " 4. work indicated on this application. 0 1-and 2-family dwelling` 0 Commercial/industrial Valuation: $ ,)(9 ❑Accessory building 0 Multi-family Number of bedrooms: 5 b)•7 C 0 Master builder 0 Other: Number of bathrooms: .:S 9 le' x 1 a rt+ ', ; <` t *�' Total number of floors: 2 C Job site address:13340 SW Doe Ln New dwelling area: 3382 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 532 square feet Suite/bldg./apt.no.: Project name:Walnut Ridge Covered porch area: ;-fir'" 3 quare feet 1 Cross street/directions to job site:SW Walnut and SW 133r1 Ave Deck area:eJv t i S'•� square feet 16 59 Other structure area: square feet A Subdivision:Walnut Ridge Lot no.:010 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 4" 44,*;4 A' r a' - 404* ; work indicated on this application. Construction of SFR Home Valuation: $ Existing building area: square feet New building area: square feet w ' z"' d ' ,r .. e - Number of stories: Name:Riverside Homes,LLC Type of construction: Address:17933 NW Evergreen Parkway,Suite 370 Occupancy groups: City/State/ZIP:Beaverton,OR 97006Existing: ' Phone:(503)645-0986 Fax:( ) New: , Business name:Same as Above Structural plan review fee(or deposit): Contact name:Wes Boisvert FLS plan review fee(if applicable): ' Address: City/State/ZIP: Total fees due upon application: Phone: Fax) Fax::( ) Amount received: &mail:wboisvert@riversidehome.com r ' r; P* X4444* 1 � ' .. Commercial and residentialprescriptive rescri tive installation of *-;i snP,arice h P,* ��� �.� .m . „ �aY-�„ . � � ^ roof-top mounted PhotoVolaic Solar Panel System. Business name:Riverside Homes,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon • Address:17933 NW Evergreen Parkway,Suite 370 Solar Installation Specialty Code checklist. ' City/State/ZIP:Beaverton,OR 97006 Permit Fee(includes plan review $180.00 and administrative fees): Phone:(503)645-0986 Fax:( ) State surcharge(12%ofpermit fee): $21.60 CCB lie.:189148 Total fee due upon application: $201.60 Authorized signature: l j tcta This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name:Wes Boisvert Date:06/10/2016 *Fee methodology set by Tri-County Building Industry , Service Board. I:\Building\Pennits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(I I/02/COM/WEB) i City of Tigard 7111 • COMMUNITY DEVRT OPMENT DEPARTMENT Building Permit Review — Residential TIGA \F) Building Permit#: /IS% C%/6, -- 00 ,.11--c, Site Address: 1 334 0 Sw Doe. !_,. Project Name: \No(n u l- l i of 9-e, Lot #: 1 0 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: N' s F f2- ,g1 Verify site address/suite#exists and active in permit system. El River Terrace Neighborhood: V No 0 Yes,See River Terrace Review Addendum Attached Site Plan Elements: (OThree(3)copies of site plan G isting structures on site Site plan must ke on 8-1/2"x 11"or 11 x 17"paper 7Footpcint of new structure(including decks)with finished /Drawn to scale(standard architect or engineer scale) floor elevations North arrow 4thility locations(required for new,may apply for additions) . Site address,project or subdivision name and lot number -Evocation of wells/septic systems grApplicant information(name and phone number) XExisting trees to be retained with drip line,and tree gLot dimensions and building setback dimensions protection measures 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) ciStreet names Property corner elevations(2 foot contour lines if more than 4 foot differential 7 Clean Water Services-Service Provider Lett, (lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ►' No Received: 0 Yes 0 No gi Public Facilities Improvement(PFI)Permit C gZ Z,O Is-o O 103 Required: 0 Yes,applicant was notified 0 No Applied For: 0 Yes 0 No,stop intake Land Use Case#: S UU f3 2014 _ 0 00 I I Z zoning: M1 A. S If Setbacks: Front 1 S Rear ( $ Side $ Street Side / 0 Garage ZA Landscape Requirement Lot Coverage Maximum: — % .ef Building Height: Maximum Height 3 0 Actual Height 2-9 jzr Visual Clearance 71 Easements Sensitive Lands: 0 Yes 0 No Type Or Urban Forestry Plan ®Conditions"Met"prior to issuance of building permit Notes: t11 n t o l>/eo( Goct °Cr -i 0n J , 1-0 be. /lief e r1o' Ii) 1 SJ v u ri Le_ -01- touiISi✓ty (.Perr»it Approved By Planning: 47 0 n rte% ./bo d t2 &4. < Date: (O/2 0/ 1 I, Revisions(after Briding Submittal only) Reviewer D to Revision 1: V Approved 0 Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved I:\Building\Forms\BldgPennitRvw_RES 060!16.docx A Building Permit Submittal Original Submittal Date: 6/2-tf//6, Site Plans: # Building Plans: # Building Permit#: ©-Enter building permit#above. Workflow Routing. WA-Planning C Engineering 0-Permit Coordinator 0-Building Workflow Sign-off: Q.-Sign-off for Planning(include notes from planning review) Route Application Documents: a 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: A91547.(r-(471- -- Date: v7?�/fib Engineering Review Slope at building pad: n 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: 0 YesNo Assess Water Quantity Fee in-lieu: 0 Yes No LIDA Facility on lot 0 Yes No 0 NOT Appr-ov b Enginee ' Date:'` Notes: Lac Z L 'tier - IT 4 Approved by Engineering: __4'_ Date: 7-(2-1.4 /041 1/ Revisions(after Building Submittal only) Reviewer Date Revision 1: 0 Approved 0 Not Approved Revision 2: 0 Approved 0 Not Approved Revision 3: 0 Approved 0 Not Approved Permit Coordinator Review 0 Conditions"Met"prior to issuance of building permit-.g. d: ligef' Date: ?---/# . ./14. ./140,Notes:Approved,NOT ReleaseC'_vv./ dr...,,, Revisions(after Building Submittal only) L, Revision Notice 1: Date Sent to Applicant �v _i,} Revision Notice 2: Date Sent to Applicant /IJ ( Revision Notice 3: Date Sent to Applicant i N 4t Or SDC Fees Entered: Wash Co Trans Dev Taxes 0 N/A 1 61 Tigard Trans SDC: Fes 0 N/A Parks SDC: es ❑ N/A Kvo6 K to Issue Permit Approved by Permit Coordinator: Date: //'( 16. A079-7/1/ /0// / I:1ButkLng\F'ocross\BldgPermitRvw_RES_0601 docx 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 1114Transmittal Letter 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov TO: T-n DATE DEPT: BUILDING DIVISION ilkEtriVED OCT 42016 FROM: ��J r� C� v)0, CtrYOF ' Ge COMPANY: 2 k Vr S ‘A'1 [\'o \tiL> BUILDINGDIVISION PHONE: - c1.2 - \'I-, By. v l RE: V2)'341) 'VJ S`C 2. --)1 o z�'� (Site Address) (Permit Number) (Project name or subdivision name and lot number) ATTACHED ARE THE FOLLOWING ITEMS: Additional set(s)of plans. Revisions: F--\'rc.�p c�• L-2��5 �+4'L Cross section(s)and details. Wall bracing and/or lateral analysis.�"" Floor/roof framing. Basement and retaining walls. ( Beam calculations. Engineer's calculations. Other(explain): ^„� oiy 4o; REMARKS: A rt A -r\) L (U.L-e-, c)--0 N e:;e1 ,;,►6 a P Routed to Permit Technician: Date: 0 — ''� p g{t41 Fees Due: 111 Yes ❑No Fee Descri•tion: Amount D e: (' 4-/ /// f= $ $ vs, 0 -0 --,e >T - $ 8 /► :ri ,ev $ 6-7•f Special czl• / 1.o lP Instructions: 777-0-z- /O S. Re.rint Permit ser PE : ❑ Yes ❑No ❑ Done A. •licant Notified: Date: Initials: I:\Building\Forms\TransmittalLetter-Revisions 061316.doc IllCITY OF TIGARD t MASTER PERMIT COMMUNITY DEVELOPMENT 0 ANCIIII Permit#: MST2016-00286 13125 SW Hall Blvd.,Ti and OR 97223 503.718.2439 Date Issued: 08/11/2016 T[ "' g Parcel: 2S 104AC 10900 Jurisdiction: Tigard Site address: 13340 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 10 Project Description: New SF. 9/21/2016: REPRINT permit to add 4th bathroom (shower stall, lay and water closet). 10/5/16, REPRINTED to remove(1)hose bib. BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1659 sf Basement: 0 sf Left 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3382 sf Value: $408,476.21 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 0 Tubs/Showers: 4 Garbage Disp: 1 Water Heate'rs: -1_, Water Lines: 100 Drains: 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: N Vent Fans: 5 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: 6 201-400 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 SF VB R-3 3382 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 A Geotechnical report is BEAVERTON,OR 97006 required before the footing 3 Fire Sprinklers Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,355.65 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. E`NTION: Or-•on law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-0 -0010 through OAR *5 :. '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 y_ / Permittee Signature: 4/ . �7( 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. I 1 IIICITY OF TIGARD ,4147./1p MASTER PERMIT * '' COMMUNITY DEVELOPMENT Permit#: MST2016-00286 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016 Parcel: 2S104AC 10900 Jurisdiction: Tigard Site address: 13340 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 10 Project Description: New SF. 9/21/2016: REPRINT permit to add 4th bathroom(shower stall, lay and water closet) BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1659 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 4 Second: 1723 sf Garage: 532 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3382 sf Value: $408,476.21 Rear: 20 PLUMBING Sinks: 1 Water Closets: 4 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100 Tubs/Showers: 4 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Bckflw Prevntr: 0 Drywell-Trench Drain: 0 Other Fixtures: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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,500 sf: 6 201-400 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 Ecompasing: Y Other: N Other Description: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 3382 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 A Geotechnical report is BEAVERTON,OR 97006 required before the footing 3 Fire Sprinklers Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,355.65 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. ATTEN . egon law requires you to follow the rules adopted by the Oregon Utility Notificatio Center. Those rules are set forth in OAR 952-001-0 through 0 952- 0090. You may obtain a copy of the rules or direct questions to OUNC b calli 503.232.1987 or 17800.332.2344. Issuedky,„:„. A,, Permittee Signatu . rir r---, 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. 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 Tr • ansmittal Letter 11 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.24 •www.tigard-or.gov TO: /�a/Y\ DATECF.IVEU• DEPT: BUILDING DIVISION 4 : ,4 I., `;F_P 14 2016 FROM: CEJ x-'1 \- ( yo V ah . ,i, COMPANY: o 1V ;x ' . PHONE: '51)"3 4 g i '51.-S ii2 By:._ RE: k"'-1' 9, SL-) 10 a4, Lv- r-)5.1- -1..1)110 -- pp y (Site Address) rr (Permit Number) \ tll �� y\1,ti� U t)t, LD 10 (Project name or subdivision name and lo numbe ATTACHED ARE THE FOLLOWING _..k0 Additional set(s)of plan \A Revisions: Cross section(s)and d; Wall bracing and/or lateral analysis. Floor/roof framing. Basement and retaining walls. Beam calculations Engineer's calculations. Other(explain): REMARKS: 1\&& C..- 4.5k 6 ij I,\ (? 5 Ir.0\-/c-v Stu) I - LJ Dv-t,,.- 0,04)1A , 1 ik_u) Routed to Permit Tec ician: Date: 9 -ai„ - ) T Initials: Fees Due: =l Yes 0 No Fee Description: Amount Due: H r pi <.� r( \/' �zv $ L 6 4- -r—oozy i"--6-6- $ /Z°70 c'u $ Special /YI.S� Pira ‘/5. tre Ins i '..• -. 4 Pearint Permi,:er PE : El Yes ❑No ❑ Done p�p icant Notified: 62.E Date: ?Z.74//(e, Initials:.d5 I:\Building\Forms\TransmittalLetter-Revisions 061316.doc CITY OF TIGARD MASTER PERMIT 2 COMMUNITY DEVELOPMENT N Permit#: MST2016 00286 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/11/2016 Parcel: 2S104AC10900 Jurisdiction: Tigard Site address: 13340 SW DOE LN Subdivision: Lot: Project: Walnut Ridge, Lot 10 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 5 First: 1659 sf Basement: 0 sf Left: 5 Parking Spaces: 0 Height: 25 Bathrooms: 3 Second: 1723 sf Garage: 532 sf Front: 15 Smoke Dwelling Units: 1 Third: 0 sf Right: 5 Detectors: Yes Total: 3382 sf Value: $408,476.21 Rear: 20 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 0 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: Catch Basins: 0 Bckflw Prevntr: 0 Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1 Other Fixtures: 0 Drywell-Trench Drain: 0 Other Fixture Units: MECHANICAL Fuel Types Air Conditioning: N Vent Fans: 5 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: 6 201-400 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 SF VB R-3 3382 Owner: Contractor: RIVERSIDE HOMES LLC RIVERSIDE HOMES LLC Required Items and Reports(Conditions) 17933 NW EVERGREEN PKWY 17933 NW EVERGREEN PKWY 370 1 Ersn Cntrl 503-639-4175 #370 BEAVERTON,OR 97006 2 A Geotechnical report is BEAVERTON,OR 97006 required before the footing 3 Fire Sprinklers Required PHONE: PHONE: 503-645-0986 FAX: 503-690-2942 Total Fees: $31,192.63 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 952-001-00111 •h OAR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 .1987 or 1.800.332.2344. Issued B : __a 11 Permittee Signature: "1179"---� 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 Applicat rt A___. E • 4 Residential CED b ti JUN 2 $ 2016 FOR OFFICE I SF. OyLI City of Tigard Received 13125 SW Hall Blvd.,Tigard,O {9 Date/By: //7���0 Permit N .. Phone: W Hall Blvd. Fax: 5 p t t ARP Plan Review / �"1�i�o��'��� -i t n lZ la Inspection Line: 503.639.4175Q OW'OF 3�1 rg Date/By: �— -' 6 Other Perini -k y / 41 C Internet: ee Page 2 for www.tigard-or.gov Date Ready/By: P� '� Jur.. I Supplemental U Nohfied/Me[hod: 0 (/ upplemental Information ; $" 1vi 'ii ®New construction � � < 0 Demolitiona. 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: d t x ^r :. ,r equipment,materials,labor,overhead,and the profit for the A # i , .' , . x app • , , + - � ' , work indicated on this a lication. ® 1-and 2-family dwelling ❑Commercial/industrial Valuation: $ 1:3 Accessory building ❑Multi-family Number of bedrooms: 5 IT. , ❑Master builder 0 Other: Number of bathrooms: � ' � ��� ' . �:, ,� .� � Total number of floors: 2 Job site address:13340 SW Doe LI''. ntu.x : .9 C) � "7 New dwelling area: 3382 square feet City/State/ZIP:Tigard,OR 97223 Garage/carport area: 532 square feet Suite/bldg./apt.no.: I Project name:Walnut Ridge - Covered porch area: c 3 quare feet �,D__,3 Cross street/directions to job site:SW Walnut and SW 133rd Ave Deck area:C-)v I„s.. . square feet i CI r;9 Other structure area: square feet Subdivision:Walnut Ridge x a t l * I Lot no.:010 Permit fees*are based on the value of the work performed. W Indicate the value(rounded to the nearest dollar)of all Tax map/parcel no.: '' * ' y '`x` * „ ; ,"'# ° 4 • '` equipment,materials,labor,overhead,and the profit for the " "*v , .. , ,,w ,• - work indicated on this application. $ Construction of SFR Home Valuation: Existing building area: square feet mry � New building area: square feet ; 1 Number of stories: Name.Riverside Homes,LLC � � � �:. "i Address:17933 NW Evergreen Parkway,Suite 370 Occu Typeof construction: City/State/ZIP:Beaverton,OR 97006 Occupancy groups: Phone:(503)645-0986 Existing: Fax:( ) . * "A P;. ) r New: Business name:Same as Above Contact name:Wes Boisvert Structural plan review fee(or deposit): Address: FLS plan review fee(if applicable): City/State/ZIP: Total fees due upon application: Phone:( ) I Fax: ( ) Amount received: E-mail:wboisvert@riversidehome.com L. ss , 1# w x „ .. 'a = 11 4 -4 Commercial and residential prescriptive installation of . `" •V. roof-top mounted PhotoVoltaic Solar Panel System. Business name:Riverside Homes,LLC Submit two(2)sets of roof plan with connection details and fire department access,along with the 2010 Oregon Address:17933 NW Evergreen Parkway,Suite 370 Solar Installation Specialty Code checklist. City/State/ZIP:Beaverton,OR 97006 Permit Fee(includes plan review Phone:(503)645-0986 and administrative fees): $180.00 Fax:( ) CCB lic.:189148 State surcharge(12%of permit fee): $21.60 Total fee due upon application: $201.60 Authorized signature: This permit application expires if a permit is not obtained wta 13,4 within 180 days after it has been accepted as complete. Print name:Wes Boisvert I Date:06/10/2016 I *Fee methodology set by Tri-County Building Industry Service Board. I:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) , ' Mechanical Permit Applicapt , _ FOR OFFICE LSH ()NI.1 IICity of Tigard E i ' p Received 13125 SW Hall Blvd.,Tigard,OR 97223 F Date/By: Permit No9/C,�Q p;45-6 Plan Review 503.718.2439 Fax: 503.598.1968 U V2 8 z p16 Date/By: Other Permit:Inspection Line: 503.639.4175 Date Ready/By: Juris: Internet: www.tigard-or.gov See Page 2 for p ( + ( E :( ,, Notified Method: S � ir3i a ,,,I r-; ,` -1=t Supplemental Information fz-.., tea .` •,,,,r,....;.. _• Y; •'`•'' 17.: . 4. 5...:,:i.,,,,,,;:-.Y x + T4 x xs a,.', 4 a,. ®New construction 0 Addition/alteration/replacement Mechanical permit fees*are based on the value of the work performed.Indicate the value(rounded to the nearest dollar)of all ❑Demolition 0 Other: mechanical materials,equipment,labor,overhead,andP rofit i+' +t I,� 0 ; e tats l t 7"e'; Value:$ ® 1-and 2-family dwelling 0 Commercial/industrial � e l i)sl a v i�� `c `f 0 Accessory building ❑Multi-family ❑Master builderFor special information use checklist. 0 Other: Description 1" ' ' � ' ' � - � . � Qty. I Ea. I Total Heating/cooling: Job site address: 13340 SW Doe Ln Air conditioning 46.75 City/State/ZIP: Tigard, OR 97223 Furnace 100,000 BTU(ducts/vents) 1 46.75 4g 75 Furnace 100,000+BTU(ducts/vents) 54.91 Suite/bldg./apt.no.: I Project name: Walnut Ridge Heat pump 61.06 Cross street/directions to job site: Duct work 1 23.32 73 39 SW Walnut&SW 133rd Ave. Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 1 23.32 23.32 Subdivision: Walnut Ridge I Lot no.: 010 Other: 23.32 Tax map/parcel no.: Other fuel appliances: WS,40 Water heater 1 23.32 23 39 0 .v _.,. Gas fireplace/insert 1 33.39 33 39 Flue vent for water heater or gas 23.32 Constnlotion of SFR fireplace 1 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 1g4 t Chimney/liner/flue/vent 23.32 ° a,: ` • :al .24 • , • y .,' a* t <,,. Other: 23.32 Environmental exhaust and ventilation: Name: Riverside Homes, LLC Range hood/other kitchen Address: 17933 NW Evergreen Parkway, Suite 370 equipment 1 33.39 33.39 Clothes dryer exhaust 1 33.39 33.39 City/State/ZIP: Beaverton, OR 97006 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 5 23.32 116.60 Phone:( 503) 645-0986 Fax:( ) Attic/crawlspace fans 23.32 t o Oth23.32.'1 •i ": `. er: Business name: Same as above Fuel piping: Contact name: Wesley Boisvert $14.15 for first four;$4.03 for each additional Furnace,etc. Address: Gas heat pump 1 14 15 City/State/ZIP: Wall/suspended/unit heater Phone:( ) Water heater Fax::( ) Fireplace 1 14 15 E-mail: wboisvert@riversidehome.com Range 1 14.15 4 4 _ _ Barbecue . . :;; a) , .t trt!! _ : dryer(gas) M -x �,�-» wv'y�` Clothes Business name: Pyramid Heating &Cooling Other: Address: 9409 NE Colfax St. 1.� ;Y '-• '` City/State/ZIP: Portland, OR 97220 Subtotal 399 95 Minimum permit fee($90.00) Phone:( 503) 786-9522 I Fax:(503)786-3432 Plan review(25%of permit fee) CCB lic.: 59382 State surcharge(12%of permit fee) TOTAL PERMIT FEE (1 1 This permit application expires if a permit is not obtained within 180 Authorized signature: ((J V days after it has been accepted as complete. * Fee methodology set by Tri-County Building Industry Service Board I Print name: Wesley Boisvert I Date: 6/20/2016 I I:\Building\Permits\MEC_PermitApp_040113.doc 440-4617T(11/02/COM/WEB) IgGE E D Electrical Permit Applica V FOR OFFICE LSE 0VI.1 City of Tigard JUN 2 8 2016 Received ig ,OR 23 Date/B : Permit#. j--7- 20,„,6 Phone:13125S 503.718.2439WHallBlvd.,T Fax:ard50 972 `„ r Plan Review 114 661- ' 1 I' °t�"k Date/B : Related Permit#: T t G,1 R n Inspection Line: 503.639.417 tj 1 l I�,,a(3, D s ; 1 I Internet: www.tigard-or.gov ` "' " /4 '1 Readyd ethos Jur s: SeePage2for Notified/Method 5y u * Supplemental Information ® apply New construction 0 Addition/alteration/replacement Please check all that a 1 . checked): 2 sets of plans w/items or more P 0 Demolition Other: 0 Service or feeder 400 amps m-li 0 Building over three stories. "� :` where the available fault current 0 Marinas and boatyards. - Bleu s:o•i !;tip t' ; � '. exceeds 10,000 amps at 150 volts or 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory buildingless to ground,or exceeds 14,000 ❑Multi-family ❑Commercial-use agricultural 0 Master builderamps for all other installations. buildings. ..- 0Other: 0 Fire pump. 1 ,i 1 r t�1„tee S � ;t 4 ❑Installation of 150 KVA or "' + 1' ? 4 ,: ❑Emergency system. larger separately derived Job#: Job site address: 13340 SW Doe Ln ❑Addition of new motor load of system. City/State/ZIP: Tigard, OR 97223 fool>P°rmore. ❑"A "E","1-z', l_3", ❑Six or more residential units. occupancy. Suite/bldg./apt.#: Project name: Walnut Ridge ❑Health-care facilities. 0 Recreational vehicle parks. 0 Hazardous locations. 0 Supply voltage for more than Cross street/directions to job site: SWWalnut 8t SW 133rd Ave. ❑Service or feeder 600 amps or more. 600 volts nominal. .stgl�`, 77:74 :47:777 Description * Qty. Each Total Subdivision: Walnut Ridge New residential single-or multi-family dwelling unit. i Lot#: 010 Includes attached garage. Tax map/parcel#: 1,000 sq.ft.or less t 168.54 4 = i �fr�,. l -.7-.•,;74" <` a <,-. Ea.add'1500 sq.ft.or portion 6 33.92 1 : ' . F1'i`t**: Limited energy,residential Construction of SFR (with above sq.ft.) 75.00 2 Limited energy,multi-family residential(with above sq.ft.) 75.00 2 ' Renewable Ener �:�� ❑ See Page 2 Name: Riverside Homes, LLC Services or feeders installation,alteration,and/or relocation 200 amps or less 100.70 2 201 amps to 400 amps 133.56 2 Address: 17933 NW Evergreen Parkway, Suite 370 City/State/ZIP: Tigard, OR 97223 401 amps to 600 amps 200.34 2 Phone:( 503) 645-0986 601 amps to 1,000 amps 301.04 2 Fax:( ) Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation,alteration,and/or Email: wboisvert@riversidehome.com Owner installation:This installation is beingmade onpropertysrelocation intended for sale,lease,rent,or exchange,according to ORS 7,449,670,and 701. 201 200 amps toro less 59.36 1 201 amps to 400 amps 1 I 125.08 1 2 Owner signature: Date: 401 amps to 599 amps „ . 168.54 2 � Branch circuits—new,alteration,or extension,per panel Business name: Same as above A.Fee for branch circuits with above service or feeder fee, Contact name: Wesley Boisvert each branch circuit 7.42 2 B.Fee for branch circuits without Address: service or feeder fee,first City/State/ZIP: branch circuit 56.18 2 Each add'I branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:( ) I Fax: :( ) Each manufactured or modular Email: wboisvertrlversidehome.com dwelling,service and/or feeder 67.84 2 "a ° # ,, � , Reconnect only M . e h="' ' , Y , 4 67.84 2 Business name: Garner Electric m Pump or irrigation circle 67.84 2 Sign or outline lighting 67.84 2 Address: 2920 SE Brookwood Ave#1 Signal circuit(s)or limited-energy panel,alteration,or extension. 0 See Page 2 2 Each additional inspection over allowable in any of the above City/State/ZIP: Hillsboro, OR 97123 Phone:( 648-4552 Additional inspection(1 hr min) 66.25/hr 1 Fax:( 503)642-7925 Investigation(1 hr min) Email: a 90.00/hr ge@garnerelectric.com 34�,�6 Industrial plant(1 hr min) 78.18/hr Inspections for which no fee is CCB Lic.: 121159 I Electrical Lic.: I 5-' Suprv.Lic.: 37x15 s rficall listed %z hr min 90 00/hr Suprv.Electrician signature,required: (ZIA ; " . Print name: Chuck Garner7 Subtotal: Date: 06/20/2016 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): Authorized signature: TOTAL PERMIT FEE: Print name: Wesley Boisvert This permit application expires if a permit is not obtained within 180 Date: 6/20/2016 days after it has been accepted as complete. IABuilding\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 * Number of inspections allowed per permit. 440-4615T(11/05/COM/WEB Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: 6fts Fee for all residential systems tia.combined: J~ 44= � � � r ; $7500 Description Qty. Each Total + Renewable electrical energy systems: Check Type of Work Involved: 5 kva or less 100.70 2 5.01 to 15 kva 133.56 2 Audio and Stereo Systems* 15.01 to 25 kva 200.34 2 ❑ Burglar Alarm Wind generation systems in excess of 25 kva: 25.01 to 50 kva 301.04 2 ❑X Garage Door Opener* 50.01 to 100 kva 552.26 2 >100 kva(fee in accordance 0Heating, Ventilation and Air Conditioning with OAR 918-309-0040) 552.26 2 System* Solar generation systems in excess of 25 kva: ElEach additional kva over 25 7.42 3 Vacuum Systems* >100 kva-no additional charge 0.0 ❑ Each additional inspection over allowable in any of the above: Other: Each additional inspection is charged at an hourly(1 hr min) 66.25/hr Inspections for which no fee is s•- ificall listed %hr min 90.00/hr Fee for each commercial system: 1 ` Subtotal(Enter on Page 1): $75.00 (SEE OAR 918-309-0000) * Number of inspections allowed per permit. Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ D• ata Telecommunication Installation El F• ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* El Protective Signaling ❑ Other: Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015 - ' Plumbing Permit APPli Building Fixtures '`' IIS' q FOR OFFICE ESE O\l.N City of Tigard .J JUN I 4 2016 Received 1111 . 11 13125 SW Hall Blvd.,Tigard,a' 72 Date/By: PermitNgl�1S /6,6r�© Phone: 503.718.2439 Fax ! !1(-1° °' Plan Review "' L., Date/By: Other Permit No.: T I C,A R t� Inspection Line: 503.639.4�� � , � l l m l Internet: www.tigard-or.gov 'l `` Date Ready/By: 7urs: ® See Page 2 for { r Notified/Method: Supplemental Information ' t • F$ , -•;4„,.<g4,."-...*,„, 3 ,-,.:,::::,,•,,,,.:.,,e, *,.--“e„,,,241- 'FAQ? ®New construction ❑Demohhon For special information use checklist. Description I Qty. Ea. Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) �, SFR(1)bath 312.70 ® 1-and 2-family dwelling 0 Commercial/industrial SFR(2)bath 437.78 ❑Accessory building 0 Multi-family SFR(3)bath ) 500.32 ❑Master builder Each additional bath/kitchen J 25.02 ❑Other: r ,o Fire sprinkler( sq.ft.) Page 2 0;.1�l p,' * ; t 1 t 1 • Site utilities: Job site address: 13340 SW Doe Ln Catch basin or area drain 18.76 City/State/ZIP: Tigard, OR 97223 Drywell,leach line,or trench drain 18.76 Footing drain(no.linear ft.:_) Page 2 Suite/bldg./apt.no.: I Project name: Walnut Ridge Manufactured home utilities 50.03 Cross street/directions to job site: SW Walnut&SW 133rd Ave. 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: Walnut Ridge I Lot no.: 10 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 - ,. t s , E,' ,,. Backwater valve 12.51 ` "• ` 6'. Clothes washer Construction of SFR 25.02 Dishwasher 25.02 Drinking fountain 25.02 4,4P,',..14°,,4,,,* } Ejectors/sump 25.02 1Mu Expansion tank 12.51 Name: Riverside Homes, LLC Fixture/sewer cap 25.02 Address: 17933 NW Evergreen Parkway, Suite 370 Floor drain/floor sink/hub 25.02 Garbage disposal 25.02 City/State/ZIP: Beaverton, OR 97006 Hose bib 25.02 Phone:(503) 645-0986Fax ( ) Ice maker 12.51 s . ,,, � ,_; ::::r.:7„::'' . w tV61, s Interceptor/grease trap 25.02 Business name: Same as above Medical gas(value:$ ) Page 2 Contact name: Wesley Boisvert Primer 12.51 Address: Roof drain(commercial) 12.51 Sink/basin/lavatory 25.02 City/State/ZIP: Solar units(potable water) 62.54 Tub/shower/shower pan 12.51 Phone:( ) Fax::( ) E-mail: wboisvert@riversidehome.com Urinal 25 02 ..• � ? �/ Water closet 25.02 a .. � "* Water heater Business name: H & H Mechanical 37.52 Water piping/DWV 56.29 Address: 5757 SE Willow Ln Other: 25.02 City/state/ZIP: Milwaukie, OR 97267 Subtotal Phone:(503) 975-9787 Fax:( ) Minimum permit fee: $72.50 CCB Lic.: 178122 Plumbing Lic.no.: PB414 Plan review (25%of permit fee) D�,a„ 0UNState surcharge(12%of permit fee) Authorized signature: ` �" TOTAL PERMIT FEE Print name: Wesley Boisvert Date: 6/20/2016 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\Pertnits\PLMU-PermitApp.doc 10/01/09 440-4616T(10/02/COM/WEB) City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT 111111 ■ T l G A R D Building Permit Review — Residential Building Permit #: /ii'j c/C, 0 -6 Site Address: I 334 0 SW Doe. I_v7. Project Name: Wu l r? uf- kid 9t. Lot #: 10 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: lV'&vv S F 0- JZ Verify site address/suite# exists and active in permit system. .Irl River Terrace Neighborhood: V No ❑ Yes,See River Terrace Review Addendum Attached Site Plan Elements: %Three(3)copies of site plan 0-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 /IADrawn 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 ❑Location of wells/septic systems KfApplicant information(name and phone number) JZ/Existing trees to be retained with drip line,and tree Lot dimensions and building setback dimensions protection measures ❑Lot area,building coverage area,percentage of coverage and .Street tree size,type and location impervious area(applicable if R-7,R-12,R-25&R-40) /Street names Property corner elevations(2 foot contour lines if more than 4 foot differential Clean Water Services—Service Provider Lett:- (lot platted prior to 9/10/1995): Required: El Yes,applicant was notified kRi No Received: ❑ Yes ❑ No 71 Public Facilities Improvement(PFI) Permit: P P I LO IS-0 0 103 Required: ❑ Yes,applicant was notified ❑ No Applied For: ❑ Yes ❑ No,stop intake ,1 Land Use Case#: S U 62014 _ 000) 1 Zoning: it 4. S Zi Setbacks: Front [S Rear ( S Side „S` Street Side / 0 Garage Z-a ,z1 Landscape Requirement: % ,Z1 Lot Coverage Maximum: —" .LSI Building Height: Maximum Height 3 0 Actual Height Z9 0 Visual Clearance ,Pf Easements XSensitive Lands: ❑ Yes El No Type Z. Urban Forestry Plan ®Conditions "Met"prior to issuance of building permit Notes: U fl/1C I o I✓` (1 Cort A..; tion J fiv i9e, M e f' f7 riot iv j sl uar?Uz- i -0f. toutIcl-i✓ly per on;t Approved By Planning: th o n reen /3//0 ott,ct Date: 6212-19/ 1 i'' Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved El Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved El Not Approved I:\Building\Forms\B1dgPemutRvw RES 060116.docx Building Permit Submittal Original Submittal Date: 6`Z4'%(:. Site Plans: # .? Building Plans: # `� Building Permit#: CI--Enter building permit#above. Workflow Routing: C'-Planning ❑''Engineering [a-Permit Coordinator 0--Building Workflow Sign-off: P--Sign-off for Planning(include notes from planning review) Route Application Documents: 12" 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: r By Permit Technician: „az, ,_ Date: ,..7z,f-//4, Engineering Review ,izr Slope at building pad: ��j 9 Conditions "Met"prior to issuance of building permit Easements (encroachments)per engineering conditions of approval and plat izr Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: ❑ Yes No Assess Water Quantity Fee in-lieu: ❑ Yes No LIDA Facility on lot: ❑ Yes No ❑ NOT Approv by Engineerin : f G Date:t Notes: , yrs` • tioS rye 7C e wte Approved by Engineering: 1142Date: 7/z-44 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: Date: ?- f 01a2 Notes: (.vv",c `--„, Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: 1 Revision Notice 2: Date Sent to Applicant: j n f Revision Notice 3: Date Sent to Applicant: ACU SDC Fees Entered: Wash Co Trans Dev Tax: es ❑ N/A -' Tigard Trans SDC: Yes ❑ N/A Wl ,,; , Parks SDC: es El N/A K to Issue Permit /// ?5:43 Approved by Permit Coordinator: Date: (O I:\Building\Forms\B1dgPermitRvw_RES 060116.docx Albert Shields From: Albert Shields Sent: Wednesday,July 13, 2016 9:43 AM To: 'wboisvert@riversidehome.com' Subject: FW: MST2016-00281, 285, &286, Attachments: Conditions - 07-12-2016.pdf Wes, same story for these 3 permit applications. Albert. From:Albert Shields Sent:Tuesday,July 12, 2016 6:37 PM To: 'wboisvert@riversidehome.com'<wboisvert@riversidehome.com> Subject: MST2016-00280, 13310 SW Doe Lane Wes, as you know and as is shown on the attached list of conditions of approval for SUB2014-00011, numerous of the conditions have still to be met and must be met before we can issue building permits. Accordingly, I have marked this application as Approved but Not Released. Plan Review will proceed but the permit will not be issued until the requisite conditions have been met. Albert Shields 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13340 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 399 Plumbing final Result: PASS Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: February 13, 2017 at 10:55:32 AM Record ID: MST2016-00286 Inspector: David Young Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13340 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 699 Mechanical final Result: PASS Comments: No AC installed at this time. Violation Summary: Tel: 503.718.2439 Inspection Date: February 13, 2017 at 10:57:52 AM Record ID: MST2016-00286 Inspector: David Young Inspector Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13340 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Violation Summary: Inspector Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00286 Inspector: Jeff Grove Contractor 13125 SW Hall Blvd. Tigard, OR 97223 City of Tigard Location: 13340 SW DOE LN, TIGARD, OR, 97223 Record Type: Residential - Master Permit Inspection Type: 299 Final inspection Result: PASS -CofO Comments: Street tree Moisture content Lighting efficiency Blower door test All forms received Violation Summary: Tel: 503.718.2439 Inspection Date: Record ID: MST2016-00286 Inspector: Jeff Grove Inspector Contractor