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Permit (10) IN .,. CITY OF TIGARD MASTER PERMIT i, . 8 COMMUNITY DEVELOPMENT Permit#: MST2016-00166 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/08/2016 Parcel: 2S106DC05300 Jurisdiction: Tigard Site address: 13675 SW 172ND AVE Subdivision: WEST RIVER TERRACE Lot: 53 Project: Polygon at West River Terrace, Lot 53 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 809 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 23 Bathrooms: 3 Second: 1049 sf Garage: 437 sf Front: 12 Smoke Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Yes Total: 1858 sf Value: $232,551.24 Rear: 0 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 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 1 Drains: 0 g Water Lines: 100 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: 4 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: 3 201-400 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 1858 Owner: Contractor: ADLV LAND HOLDINGS LLC WILLIAM LYON HOMES INC Required Items and Reports(Conditions) 7600 EAST DOUBLETREE RANCH 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 RD,STE VANCOUVER,WA 98660 SCOTTSDALE,AZ 85258 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $30,512.01 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: G�t� G) Permittee Signature: 0iv ,97f,,,04../Crj -77O Ai Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Application --> City of Tigard r DAY: ? Lu u C � 13125 SW Hall Blvd.,Tigard OR 97223 Plan Review Other Permit-2d- ��f . Phone: 503.7182439 Fax: 503.598 1960 r„, Date/By: �� ha;:: H See page 2 for Date Ready/Br 0,0 fns tion Zine: 503.639.4175 bloti5ed/Method / I Supplemental Information TIG:f I? P� and-or. ov Internet www.tigard-or.gov . .,. . °' `'' > /9/L /lig .-&---- , ---__ & 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 0 Other: equipment,materials,labor,overhead,and the profit for the work indicatedon this yapplication_ 3 f c.2 rte.S,ti P 3�,-- i r s-`1,,.,.....-':-':',.:::,--..,-,;+-2.--,-.....:',-, ,.Iry M1 o ar s � L1 - Cs* .. ❑Commercial/industrial ` `/ ® 1-and 2-family dwelling Cercial/ndustrial Number of bedrooms: LA ❑Accessory building 0 Multi-family Number of bathrooms 0 Master builder ❑Other -- Total number offloors: -- 4 2j:±4::",;:`,I� €`af 4� fir. c^ at y -� 2, _ �rl New dwellingar �, feet fl rs 2 e ( -� � ,/� 1� �” � T ez�:�. `' square Job site address: 3 1 ��\7 ���1 �( l _ "/ � j� square feet (- Garage/carport area: _.k , City/State/ZIP:Sherwood,OR 97140 Covered porch area: 1-5).... square feet joC Suite/bldgJapt no.: I Project name:Polygon at West River Ter ej Cross street directions to job site: Deck area: 1 C.)9 ,t square feet <3 O Other structure area: 'i square feet • I Lot no.: 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.5z - .�..,, - F ' _ , work indicated on this application. 'f-,41-:,..;.:.41-; ,t ,. ;, -', , ,. � a. Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet _ ,. t _ t-,--:, Number of stories: v a a �� , ,t.ate. �=5.--e.,-1-,,,,,,4„;,,, ---_-;,-----.-€"' " = �'".�. " - ��_.. xu,. ' � __� Type of construction: Name: i 7. f 1 I .�,�1,/.��_�" Address.to I) t ,AJ A'!i/.����7. A rIl/���, Occupancy groups: City/State/ZIP: / � ! 4�i 441(:, Existing: Phone: / , ' O11111111 Fax:(360)693.4442 New: ; - �. tn,.., � _ - i.115--- Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109E 136 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 prescriptive installation of , 4g ,�E�, � - � •�- � �"- .`,-_ roof-top mounted PhotoVoltazc Solar Panel System- - - 3 Submit two(2)sets of roof plan with connection Business nam p^tom W�1 T`• '• /4--L/�M Z-7O/�✓ // > / � and fire department access,along with the 2010 Oregon Address:109 E 136.Street -Solar Installation Specialty Code checklist- Permit hecklistPermit Fee(includes plan review180.00 City/State/ZIP:Vancouver,WA 98660 and administrative fees): Phone:(360)695.7700 I Fax:(360)693.4442State surcharge(12%of permit fee): $21.60 CCB lic.:207247 Total fee due upon application: --$201.60` This permit application expires if a permit is not obtained gl • Authorized signature: V within 180 days after it has been accepted as complete.-I *Fee methodology set by Tri-County.$0dmg Inau_ Print name:Maggie Gordon I Date:12/11/15 Service Board. 1:\Building\Permits\BUP-RESPermitApp.doc 02/24/2011 440-4613T(11/02/COM/WEB) at - ._ "._ISI I Mechanical:eTr:::dAriniicatind City Received l rpt ./� f l3€25Sw'Rail Blvd.,Tigard,OR 97223 `�� �«J'��l 4 Phone: 503.718.2439 Fax: 503.598.1960 t?aeeztBy- Inspection Line: 503.639.4175 DateReadyftic: Other Pernik: : rd Set Paget for Internet: wwww.€igard or.gov NdiFiedMethosi' Sappksnescsl tanarmanan Mechanical permit fees*are basad on the velure of the work 0. New construction 0 Additioilfalterationfreplacentent performed,indicate the value(rounded to the nearest dollar)of all Demolition 0 Other mechanical materials,equipment,labor,overhead.and profit aValue S 0 i-and 2-family dwelling 0 Commercial/industrial 0 Accessory building ! Far speckoflnfcranWsn use thee-Mist 0 Multi-family 0 Master builder 0 Other Description Qty. Ea. Total li✓i, .' � 'k ;: Heating/tooling: .` ` `'. Air tHninrt 46.75 Job site address: I 10.-1S...S� rip -e,(.� I Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: 1 ' OO Q', l . Furnace 100.000+BTU(ducts/vents) 54.91 l Heat pump 6 1.05 Suite/bldgl t.no,: Project more:...pO I\ l 0, ujDuct work 33.32 �iI Cross street/directions to job site: ,,,,,,,,,i), ilydronie hot water system23.32 Residential boiler(radiator or l hydronic) 2312 , Unit heaters(fuel-type.not electric), in-wall.in-duct,suspended,etc. ., 46.75 1 Flue/vent for any of above 2332 Subdivision:River Terrace 1 Lot no.: Other. 23.32 Other furl appliances: Tax map/parcel no.: Water heater 2332 , '° i , z ? Gas Breglacefinsed 3334 -`. -Flue cent for Racer hater or eas UIV.AC € fireplace 2332 I Log lighter(gas) 2332 ' Wood/pellet stove 33.39 , Wood fireplaeetinsert 2332 urzerfltce/ve nt 1 /l 3 32 k ,'..,;:(.,..,....t.,-41"4117.7`...-0:-.:...,s s, t,.E $7 <.�,.� :.` ."m -K z''' . ''';��'. Environmental exhaust and ventilation: 23.32 Name: P i/VLI��/aAI W 1..J..�® , / aA1tC t /t5€l T kitchen t YY .._.. equipment33.39 Address 10 / Li i i®_ 0 , A Clothes dryer exhaust 33,39 ` CitvfStatelllP:It 4 Single-duct exhaust(bathrooms, Ilio Ate. _ toilet compartments,utility rooms) 2332 r Phone r /u /y Lw Fax:( ) Attic/exawistsace tans 223.32 3 32 9 ' .� M ... �, -p.." .'res,\ .e t :�z, , Other: Fuel piping: Business name:Apes Air LLC st 4.t s for run fear;54.03 for each additional Contact name:Sta€ei Hay Furze,etc. , Address:2210 W.Main St.Suitt 107-272 Gas heat pump Wallisuspendedlun t heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)3424109 Fax: (360)326-1769 Fireplace . Range E-mail_staeih apesaireo.eom Barbecue ' nt � .. .. ' . clothes dryer(gas) g; ,� x � : ,4, r, Other IBusinessname:Apes Air LLC �R� yin r e ';4 '.. _:. ) ' 'v Address:220 W.Main St.Suite 107-272 Subtotal City/State/ZIP:Battle Ground,WA 98604 Mittitnntn permit fee(590.00) Plan review(25%of permit fee) Phone:(360)342.8109 Fax:(360)326-1769 State surcharge(12%of permit fee) TOTAL PERMIT FEECCB lie.:203034 � This permit application,expires if a permit is not obtained within t8ita �t` ..+^ ' days atter it has been accepted us complete, Authorized signat =.. ' ./ " * Fee methodologyset by Tri-County Building Industry Service Board -'i t I Print name:Stnei bay Date:1/28/2016 I t-'RotaaE£_PcrislApp 414th I).doe 440.46i7r It t, ?COMAVEB) 1 o 1+ it:'0: e,tiro i c rr of 4-,.1(.. L*,I'f3.J'l ,fTi q • ' � � L3i25 ,ii8I8I Ti and OR X17223 t,-,R '" F; n 1^ a:rlB f'um t� �� . ' 1 , lfo?e:303 v1Ti.It.�"i37 ,Frac 5$3:59"I�60 ;� � cs 2 U�t7 t)a'CNBI��t /tciated Pemiti�: • �elioa�a 303 63••-- ILeedy,CYati/IW i tfgr"-::-04.:0'.#00#,T. °`7 C R U �G"'�t`«s } t S4iiitm41 Dana&ou ! 'iV tlg[d & .'6 . �' �, x b+' * ";514 rsr,r *q "A «x "a ;�s ,..rra*.. t 1 1 Pune1444481"aa TOIS0141esaeiswFp3ans�Gliieni;#1, f54 I < ] It tlnl Ft 8tt t]/rcp SCBTnet� DSt�ae oi'dae 4punmps:crarora .jt+n7i-rif., tWrssto ices. :• b«uvltfr'bu . ;-,tl ..,.1 edl atim,,ili Saukapacnt UMartnis'�an twaiyiras; . - '-Amro A C J RU flOT 1,mty a 3s i00nosm sat T5Dv It or lfr lynghuildmgs. 1 a d'f'ai i y dwetting fl Cainmect iaflwdustrial„L1.-.4 .:.,�cssoiy buifdmg i io oa,ut,or ezcaed 14 000 [ z ome�r at�f ui�teat ., � - 'a�'¢�,tfor�i+fl�erlrta(ntlaficni. 1mlcla�y. D2v£nui- ib [� astecbudi-, p OAir pr p, [II co: pa. IsitJcvri ar ' SoB rT �1YRanQ AI i3:1:i°C.4'T�1 C7Emcrseacysystrm iugersepaipteiyderived .��``� �.� C. j) [�;§di{nwon Di'�row moor-toad Af [ - j Jnb d lob site address,'Jl1'� S1 y� ��, too or more ❑ ~c *a_ 1-3 ( �.. {75gc dt moro rasi4eut units. aAap, 47:. . C'ity)Staiiiii0 Sherwood it 97140 0FFealil, xrarss tiiw, L7zeaenataaataewrlapazks. . - _7 - lltia mdousloaaoans. 1 54th• taget'ormoia ihan i 5uitcltsldg p�>7: Pmtrctname; :- g04-iiii,-4i. . t oiolcenrreeferGoaamp;trmarc Ciosss�tteet/i ectionstoJob sue ate" „. M i i. . 44adindoa •- { 013 J Eadb'. Tci 5 i ATe 'e`.idenbi4al erinufit=fsiuhytgWeidagunit:' Sitbtitvlsioir Rifer Terrace:( Lot J .--H' lnde§clyattactsc. gmuige- tIXitY i Airless I i68.5e. 4, T.4:10,07„parCC I;: Ea gild 13Wr sq Fr ulpntiion 339.2. i • t a.. D..E4.UON t3:P QYi[L:, • 144%-4--- rtis -al: 44 7500 2 •• divrih."iwrasq R 9 J ! iilP �►t?Y Lmugedeae[py,;multt jamtty 75. , • 2 ._.WMatiat ixitti%W'esq.2l . . .s, a w.ible Eii iy [I'see Paget' ttea 47 + illIt3AtR r tt �� ktVT $errs+: : ice srsfoitiiiatiosa,'etterotion antlturrelaeatioii Al L ,1 aunpr or to 10070 2 00.amps 04004.4 133,36 1 ' O l I I .. In! 401 s to pimps. - 2ou 4' .. a", A... 1�1�1ti dhl: ta300D91itps 301:04; 2 `f — tT r,f i0empsmpoiss SZ?b 2 -**(1)01-71P1 L1�1 Tim0iii, itiiikes aele.Oeieiiietallafiaii41t iitia»,andior Email riliieafian Owner rnsfalt4twn This iistalla6Fon is being mailson propnrtydrat l sawn While is not: 200 salla or irss. . 5936 ,'1 Ritwlded for sal0,4c rctity lir iiithi ige,adeeording ta.Qlt 449,449,070.,A441."0.1..0 201 airs w 4119 snips; T25 09; 4, r nei'•*1 lltp. Date • ages to 599 slaps 168.34 ' $YanEh xittwts—naw+nI(etatliin.or eittegsion,perpanel , m it w r j u "t Dl91' t,'C PERSON. 3 d.Fa:,Tor�ii�+circuits itth' Busamegs tianim•Ger er.A1ecfric Wolk itgton,'LLC atieacseiirini ora ertee, 2 ogotit Et:.:,,,.se+i£eerbisifhersCirstiSrin�na:rte.Btll'14uiels .. x Adds $1011SIPs iSf.Joltas,Bd broiteit circuit . 5618 2 7 2 Cty/StattZYuicuver WA 98601 4. .1,:bs " :, 14:ii JIeeeiiiiii rY CC,ar.feeder iwtbwlndeil t uuiG!43).-..!!4:-,'" 32o- 57 Fax -CI • ) shat oyytd xa emeduIar . &184 . slx'CI�&�sFIY�C�sridtar.fcade[ l;marl.6datiret gweusa=rain ILeemil imily 411•4_: 2 e fi 7- x &,, 0,NT1 A f(3R _ 1'tu porurrgdtioncircia. 6724' 2; Buse css isn7e t3aiioei E1ecttYc Wasttiizgkan,ftl.° Sign o(-ouduiclightiug 61 4 ,- 2 Sr0-04• KS}or[urtirsy ' �Setiag2 1Q1V totinstii . 2 �eta `CiylSYat t, ..•Ya: •.:: 'i A 9$66i Eeeb tidd-i6ona1 iaspeet{on'over altu*ablaii fer1:01the Above , ieilnspacti iiitiN milt} 66 liir Phorx 1 Fax.;( ) (1 firmnu •$.9...01..,,*., irtlaale'fs $wsa.Fom lriiftsstiutptant(i ririfu) 7$d8j}u inspiaaslararlchrioxit 9AOOtJir 1,tc, +Ci irleet•l7tsilLtc 208174 8.9"...q71:-,if 1.‘c':,•'.446,9- apaa6eatiit-iiii,C hfrfttti) Sr1 rvk���si`8� • li1chrcrauiVgn3; rx,reecinirec ?' J �t' §ubtoial Pratt nan Joan P, ib�t 1 l p iiaaltolo oitutrd i'.iol' rtit Y • „ .0'1 t:P ?� { J OhllirnOl10p°#ilk-„rrt$pexaRftssn oblaitfedwiilein 180 P8Rtrl8pre, RU1.40,4ls 11oSte: V. k 1, da1,04- 1t6as3t'4�'xart ttilai'tbatptaEc, • Iliimbeteitiii"*bans aUiiVed 0rp04 +. L'�o#00o14-e ikiiikxpa i,R_ER.dal Rev 0 + 6il1 16 441,0* S/I;DM PWEs 5 i i; 4 • .. Plumbing Permit Application Building Fixtures ICity of Tigard f:,--T) 1 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Other Permit No.:ll Phone: 503.718.2439 Fax: 503.598.1960 Date/By.• . Inspection Line.: 503.639.4175 , tpate Ready/By. Reis: Fd See Page 2 for Su 4 D Internet wv/WAIgard'erley - ' . AN::6,t,i`di..74eth....:, ,!emerald Information _Pa, ' ,,,_ ,„, For special information use checklist all New construction 1111 Demolition . . Description I Qty. I Ea. I Total ri 1...J Addition/alteration/replacement 0 Other New 1-2.-family dwellings(includes 100 ft.far each utility connection) SFR(I.)bach312.70 ''''''01V4,71'''''' '.'"*.rt i**1.P....j.1 ,:,,,74,,*t.,a'a,,,,, 1.4.s.:,4.-.,.. "...-. - ,, ?.<- • ,, SFR(2)bath 437.78 CI 1-and 2-family dwelling 111 Commercial/industrial SFR(3)barb J 50032 El Accessory building 0 Multi-family Each additional bath/kitchen 25.02 . 0 Master builder 0 Other: , _Fire sprinkler( sq.fl.) Page 2 ficalt:clibtibasialitiese:r area dmia 18.76 Job site address: 1 71/1-1r-i ..--.jk,,..NI mirA i effete , Drywell,leach line,or trench drain 18.76 f- 00 City/State/ZIP: .Vv. ) D 4e, De Ct 1- -4 n Footing drain(no.linear O: ) Pg Suite/bldg./apt.no.: Project uame: Q0\1 nay) al- \)j. 9 Manufactured home utilities ae 50.032 18.76 Cross street/directions to job site: "feilar_e 1+Aanholes U CI\jiti. -R 'm drain connector18.76 Sanitary sewer(no.linear ft-:_) Page 2 Storm sewer(no linear ft:____) Page 2 Water service(no.linear IL: ) Page 2 Subdivision: I Lot no.:52) Fixture or item: Backflow preventer 31-27 Tax map/parcel no.: valve 12,51 ' •'-'1,ii'42Ve:7". t,S:iti;i1A,'4,7 ,7. ,':;11,0 k.,::i4 `44:''' '.14,14'44,;:,,,, ..,.., '11, o`,...,- '''''' e''' Clothes washer 25.02 ,..'..- -;.:4,-4..,$ 1"*.'"'" ''''' *rr a.k.44.F5e'r,` I", . ".^. ^ , • ."- ntA0 pkU -1Th --V)\-1 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 Expansion tadc 12.51 Fixture/sewercap 25.02 Name: 417 \I i , nqj Floor drain/floor sink/hub 25.02 1 Adthess: t e_1 j _. ,,./„ I _/ , A 1.i -or. '6., ......, Gatbag.7 disPosal 25.02 Hose bib City/State/ZIP: ( )fl Iv i Z., '14 sE I. t , 25.02 Fax: ip , u-)I ..... \A 1/4_.. L., Ice maker 12.51 Phone: i Ar .."4.-, ..",.. , _ ,.,,,,L7,7 wr:V.„...„. ......=: zhi aterceptorlgvase trap 25.02 er,,r2Wfqiir 6a4, 1T.f.1,7,----. ,,,,..%, 4,0-41;40..*:....*MM.P.1- $1,1,4:ttLMILVZ.04,.0 Medical gas(value:s_) Page 2 \`'N'' 1 k r • - Business name: VA-n-4 c...1,..-irYN-19--e-..) t>1 Lk-XV\ i-1/4''''‘4) - - Pruner 12.51 Contact name: 1\ ei 0/ iLi--vAt.y1„4:,,,..,AL) Roof drain(commercial) 12.51 Address: PD i y.4_ x.'").-i-i c., Sink/basin/lavatory 25.02 -)0 -0 City/State/ZIP: er...;.1..e,s1.-Lpri\r8 ( Solar units(potable water) 62.54 Tub/shower/Shower pan 12.51 Phone:q11 ) %DIP , t‘(' "3 F.::( ) Urinal 25.02 25.02 , , __, - „..„.- ..th,"„i.7r...,..., -,,•e",•'.1-..f.drr-r,,,"‘..--af:-Ole.,-0,oT,1":4-,`„,:-;1‹,. 1*--,.. .-:-.41.:•:,..., -i-,. ::14-....,..., le,,,,,,,,, , . - ...., , .. ... ., ry-,1A-1 1,1--C Business name: 14,1--t.--.1 r Itry-,64" P(1.4.. vv Water piping/DWV 56.29 Address: )i) 12)D-..i. 1::2)-7 Other 25.02 Subtotal ' . City/StatearP:Gshadv. ale Cf/tZt.) , Minimum permit fee: S72.50 Phone:( O/) i'01.40 -q/13 Fax:( ) - Plan review (25%of permit fee) CCB Lie.: 1 D(0 .4(4 1.. Plumbing Lie,noFB 1 tp()^2_ State surcharge(12%of permit fee) Authorized signature: / 1/-4.1-........................ TOTAL PERMIT FEE - Print name: maw fr„,..3e-liftx•iiird f, 1 Datel a-9 pri i I 1 - This permit appiimsion expires if a permit Is not obtained within 180 days atter it has been accepted as comPlete, *Fee methodology set by'Pi-County Building InduatrY Service Board- 10701/09 440-46 I,ST(i 0102,C0WWEB) 1:113441.1ingTannuaLM-41-PmnitApp.duc i s . 4 City of Tigard 1,1 ■ ~ COMMUNITY DEVELOPMENT DEPARTMENT T I G A R D Building Permit Review — Residential Building Permit #: /7.S7;2--0/e) — of& Co Site Address: , 3 ,} S SW 112 n 4L (A v Project Name: �0( O+'1 i1 - W€5 1-- Rorr r r erre4�... Lot #: 5 (New c we ng= subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: NteAN S. Verify site address/suite#exists and active in permit system. River Terrace Neighborhood: ❑ No A Yes,See Raver Terrace Review Addendum Attached Site Plan Elements: /Three (3)copies of site plan Site plan must be on 8-1/2"x 11"or 11 x 17"paper -fisting structures on site Footrint of /Drawn to scale(standard architect or engineer scale) �floor el elevations structure (including decks)with finished orth arrow de Utility locations (required for new,may apply for additions) /Site address,project or subdivision name and lot number Applicant information(name and phone number) -��ation of wells/septic systems �` Erosion control(including drainage-way protection, silt fence O of dimensions and building setback dimensions Lot area,building coverage area,percentage of coverage and design,location of catch basin,etc.) /impervious area(applicable if R-7,R-12,R-25&R-40) (Street names Property corner elevations(2 foot contour lines if more than /Street tree size,type and location -- isttng trees to be retained with drip line,and tree 4 foot differential) protection measures yr Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ❑ No Received: Public Facilities Improvement (PFI) Permit: ❑ Yes ❑ No Required: ❑ Yes,applicant was notified ❑ No Applied For: :Land Use Case#: � Yes E No,stop intake g DP20i5 U000i SUC� 2-CCS 0000b ,„..eZonin : r _.1 Setbacks: Front Rear U Side —� 3 Street Side Garage e Landscape Requirement: % f ,gf, /Lot Coverage Maximum: '8'o 1!J Building Height: Maximum Height 0Visual Clearance Actual Height 2r Easements Sensitive Lands: ❑ Yes /No gUrban Forestry Plan Type J 'Conditions "Met"prior to issuance of building permit Notes: 9r'lt'-h 0 aS 'T-v Approved By Planning: ,//l 0 i11 - ; Revisions (after Building Submittal only) Date: 4` ) 3 e Reviewer Date Revision 1: ❑ Approved PP ❑ Not Approved Revision 2: ❑ Approved 0 Not Approved Revision 3: 0 Approved ❑ Not Approved 1:\Building\Fonns\B1dgPennitRvw RES_012116.docx t Building Permit Submittal Original Submittal Date: f3// Site Plans: # 3 Building Plans: # - Building Permit#: ©'Enter building permit#above. Cy't5uilding Workflow Routing: 2--Planning ,1 '----Engineering ®''Permit Coordinator Workflow Sign-off: [Sign-off for Planning(include notes from planning review) Route Application Documents: ['"Engineering: (1) copy of permit application, (1) site plan, (1) building plan and original plan review routing form. [ erBuilding: original permit application,site plans,building plans,engineer and beam calculations and trust details,if applicable,etc. Notes: .� Al, ,, Date: 4/2-9//k, By Permit Technician: 4 '' R Engineering Review Slope at building pad: 5!" ❑ Conditions "Met"prior to issuance of building permit ev 1111asements (encroachments)per engineering conditions of approval and plat [11ater 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 Date: CI NOT Approv b Engineering:Notes: ,. ro,r_1.0 „.14 hi1. 'r11/ st— sireloW W.Z. 2) Date: S--,j—d-, Approved by Engineering: 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 - c6, Approved,NOT Released: Clec,A„A.1") Date: 5 -y -i Ca Notes: . lV C CU l,A.,z Ai 0,/,) ,,,+- . 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: Nr-SDC Fees Entered: Wash Co Trans Dev Tax: l Yes ❑ N/A Tigard Trans SDC: Yes El N/A Parks SDC: I- Yes ❑ N/A K to Issue Permit '��/ / 94?//C,pproved by Permit Coordinator: � Date: I:\Building\Fonns\B1dgPennitRvw_RES_012116.docx , City of Tigard III r COMMUNITY DEVELOPMENT DEPARTMENT II TI G A R D River Terrace Building Permit Review Addendum Building Permit #: /Y-57-.2e/6 — 00/6 6 Site Address: t , C,,1 S S W I l 2 ha_ 1-Au-e_ Project Name: P019 Ul C,n ci+- Wei 1 a►V,. - .I ecral Irl �..- Lot #: ���' (New w mg=subdivision name;Addition or Alteration=last name of owner) Planning Review River Terrace Plan District Design Standards (18.660.070.1): Is the project subject to the plan district design standards?,Yes ❑ No 1.tictulation: aminimumof 1 element pereachstreet facingfacade thathas 3060 ft. of frontage.An ad_ditional required for lots with over 60 ft. of street frontage shall be provided every 30 ft. N A/ �4 Porch min. 5 ft. deep Balcony w/ access 2 Window Projection Vertical Wall Offset a / ft. deep mm. 2ft., 5 ft.wide min. 2 ft. Eft.wide Gabled dormer ❑ ❑ ❑ ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: 7/ 3. Entrances:At least one entrance must meet both of the following standards: C�1Vlax. 8 ft. setback from longest street- facing wall 'Parallel to street, angle no more than 45° from street, / or open onto porch Entrance opens to a porch: Yes ❑ No If ;es, all the following apply: 5 sq.ft. min. One street facing entry )2'12 ft.max.roof above floor of porch 5 ft. depth min. 30%min. porch roof coverage 4. Detailed Design:All buildings shall include a min. of five oft e following elements on all street-facing facades: lam] in Covered porch m . 5 ft.wide x 5 ft. deep of entry area min. 5 ft.wide x 2 ft. deep /Roof(Wall offset min. 16 inches E Dormer min. 4 ft.wide eave min. 12 inch projection ❑ Roof offset min. of 2 ft. )Zi/Roof Roof shingles either tile or wood /f�] Gable,hip or gambrel roof design ❑ Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 ft.wide 7fAccentsiding 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 E 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. j�i� Setbacks: �'�� - l ) 0�(G�"�-�-'�-� Nooser to front or side lot line, than longest street-facing wall. ❑ Yes ❑ No. If No (Check one): ❑ ay extend up to 5 ft. if there is a covered front porth 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. iWi h: (Check one) 12-foot-wide garage door 50%max. of street facade with 7 detailed design elements El 40%max. of street facade Notes: Approved By Planning: 4 - d--A-- 3))0 eeA,t - Date: 4/ ( / ii., I:\Building\Forms\B1dgPermitRm_RES RT 031416.docz Plumbing Permit Building Fixtures SEP 1 b 2016 eceived City of Tigard RDates . tollil-ii---- Permit N°': AST20 tlo-6 0106 11111 . 13125 SW Hall Blvd.,Tigard,OR 97 --vo (-N _T3AD A r',../.!') Y... 1 Ijr i .:Arst it," Plan Revtew Phone:.503.7.18.2439 Fax: 503.59 . 0_. B f/uNc--; n:Ivi.F.; ON Date/By: Other Permit No.: Inspection Line: 503.639.4175 t . - Date goad/13 Avis: 61 See Page 2 for 1 I t.,.1RI) Internet: .tigard-or.gov Norified/Method: , ,_,....,.!..!r!T74t111!!!7711...."!!1!,:.n.A.1 . 716"Pam ' :'5141116:44V1Wt-;':;''''':411.11r:'''-*.''':qi'liw514.1411-1411:1E61:0"-494"14:11:15410 ii*:dltvmSgt,*Witmioqh•-.;,,,.',FilT,::-,:4364,WI'lgL:mizifie. ..-u.zp-,,,,....am,..,,,•,..,, Pttill.....LtWaiiitalitiehar+daLl.q..441.,244,4 :.ritaNgifi4liaiwavViiivarf--:,YaKL.3.4.15a4E04...,,,,,,AA.,-.4, - - For special information use checklist New construction Li Demolition Description j Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: ,..,,,,,_ New 1-2-family dwellings(includes 100 ft.for each utility connection) 461yit',-,144,TARA"limittliirgil:NA, I,1 :„Vt!..11.T,'I'qn77:;;;4t.''''.417,!4',1110210111003,11:04 SFR(1)bath 312.70 111:46/441X4s/EX'44".:;.-"="7:' -.;.1-and 2-family dwelling al Commercial/industrial SFR (2)bath 437.78 0 Accessory building 0 Multi-family SFR(3)bath 500.32 Each additional bathlkitchen 25.02 0 Master builder 0 Other: Fire sprinkler( sq.ft.) Page 2 7.4,;„:„.,„ _„. utilides: '0,...,4 g tg.i '!1!1!..,.1..,,, JL.,,, itingerokmiiiimi site .. .A.u.e... Catch basin or area drain 18.76 Job site address: 1-3(01 ) suo iltnej, Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 AX&Tt Footing drain(no.linear ft.: ) Page 2 Suite/bldg./apt.no.: Project name: 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 0 10 :1 o r) at 1/X1f4t Water service(no.linear ft.: ) Page 2 Subdivision:ralaiiihmestRiver Terrrace Lot no.: 53 Fixture or item: Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 '''}Z4lititillItIrarinellillglr7;:';:11':::r., * Clothes,..7'):C..1'.:::',114411111,1,041Rtiligt. washer 25.02 ea=9/1h2s r d Dishwasher 25.02 Drinking fountain 25.02 i Ejectors/sump 25.02 iti,"'"`".14.H zi- '-'''.‘'.411.-- /.'''111,'"1---eir'''-*':,----,-'-'1":filitilaoit iiilikilitNagrilli,,141;01:::,,,,,,,474519,..•tismsitz:5:i. Expansion tank 12.51 giiii..,'-'...4..,..v,,.1.4:4 14,‘.,"!.;:,..,::.'„..;,.,.., ,',.,'..lis•;:!4*..,411-47,11Fg'14.4.,.OPIM:14VortABitihr.6.,,.7.,.t:,::i,,r,_4'.,,_4 1 4,-.6.wm.,53 iftlitizI t-,IL::-.:,‘1,-.::-..-.•.ts.-, .-..,.- ,-, .....,,,,P,Q,0.4,..4i,,-.4.---------' - -- .- - - - Fixture/sewer cap 25.02 Name:ADVL Land Holdings,LLC Floor drain' /floor sink/hub 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 Fax:( ) Ice maker 12.51 Interceptor/grease trap irrtitigto-vireso„21:„7.,:•,.. .,,eitAit.-4,it .11,10'01:154N-40 legit IN;:t.',.!,:t:,,,l'ii!;,;...,';',7:TE,,,i:?..ii.:,:„.1,14.11 25.02 i ittigrilitlfle- :-.ZZ-'41.'±'2P1%';'!.1.t:',Lallith-lk),-AteRotrit-,,A34.4_,.......: ...•..,'.. :,t -.„ - ,,-.......--,, .--. medical gas(value:$ ) Page 2 Business name:William Lyon Homes,Inc Primer 12.51 Contact name:Angela Grajewski Roof 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)693-4442 Tub/shower/shower pan 12.51 Urinal 25,02 E-mail:Angela.Grajewsid*polygonhomes.com Water closet 25.02 '041911015444;5110-0110-fer‘lrl'i?'rr-71244,431,1414424411104211,If t-..-vi'/tris:tttttimh,qr'//tmi-xeit,,,,,t.A.t..t.rti...atttt..;„„„,-. water heater 37.52 Business name: 64- 4/441„)' i‘ Cj-- vv jeiite---- Water piping/13WV 56.29 Address: p.15, 6 c4s, of.P., Other: 25.02 Subtotal City/State/ZIP: T.. e 4404 oft, cii,131 Minimum permit fee: $72.50 Phone:(3b3***$(41S''' tqvi Fax:(ell f.0 la,1--$11/0 . Plan review (25%of permit fee) _ CCB Lic.: htti3-1,3_, Plumbing Lic,no.Pb kat/ State surcharge(12%of permit fee) i Authorized signature: #....1111(1117.9 ita/10".......„ TOTAL PERMIT FEE Print name: -fAl f_ F.)w 14,e, Date: -36-1 t, This permit application expires if a permit is not obtained within ISO days atter it has been accepted as complete, *Fee methodology set by Tri-County Building Industry Service Board, 1:1BuildinglPermits1PLMU.PermitApp.doe 10/01/09 440-4616T(10/02/COWWEB)