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Permit (59)
CITY OF TIGARD MASTER PERMIT 111 In COMMUNITY DEVELOPMENT Permit#: MST2016 00388 Date Issued: 10/17/2016 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 parcel: 2S106DB07700 Jurisdiction: Tigard Site address: 13412 SW SATSUMA AVE Subdivision: RIVER TERRACE NORTHWEST Lot: 77 Project: River Terrace Northwest, Lot 77 Project Description: New SF BUILDING Floor Areas Required Setbacks Required Stories: 2 Bedrooms: 4 First: 1259 sf Basement: 0 sf Left: 3 Parking Spaces: 0 Height: 26 Bathrooms: 3 Second: 1658 sf Garage: 464 sf Front: 12 Smoke Yes Dwelling Units: 1 Third: 0 sf Right: 3 Detectors: Total: 2917 sf Value: $349,615.31 Rear: 10 PLUMBING Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 1 Rain Drain: 1 Urinals: 0 Lavatories: 5 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain0 Storm Sewer: 100 Tubs/Showers: 3 Garbage Disp: 1 Water Heaters: 2 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: Y Vent Fans: 5 Clothes Dryers: 1 Natural Gas Heat Pump: N Hoods: 1 Other Units: 0 Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4 Fum>=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'l 500 sf: 5 201-400 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 Y Other: N Other Description: Ecompasing: BUILDING INFO Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet: NEW SF VB R-3 2917 Owner: Contractor: WILLIAM LYON HOMES INC WILLIAM LYON HOMES INC s Required Items and Reports(Conditions) 109 E 13TH ST 109 E 13TH STREET 1 Ersn Cntrl 503-639-4175 VANCOUVER,WA 98660 VANCOUVER,WA 98660 PHONE: PHONE: 360-695-7700 FAX: Total Fees: $33,022.41 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 OA 2-001-0090. 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: •' r Permittee Signature: 6 V f "' '/e-770 " 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. Z_07— 7 ? Building Permit Application ~. .._ ,i , r FOIBOFFICE t Sl O\1 \ HE /Fig ti � �/6 Received Perm�tNof '��� City of Tigard Datvsy: l� FEB 0 3 2 016 Plan Review Other Permit 3 // /6`G[/ 14 13125 S50 Hall Blvd.,Tigard OR 97219 Date/Sy: )d" )`�" i to Phone: 503.718.2439 Fax: 503.598.1960 r Date Ready/By: d Tis: H See Page 2 for i n Inspection'Line: 503.639.4175 � a � SupplementalInformatio TIC, f:f i �+{� C,.A� 1 Y.�; .�1"S t.s Notified/Method�� ��J/i�� Internet www.tigard-or.gov gov illBt ayy i v1cg a '/z_ ✓tel _ Permit fees*are based on the value of the work performed. ®New construction �� � ❑Demolition Indicate the value(rounded to the nearest dollar)of all ❑Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the _, i s work indicated on this(app`lication. ti's eta ® , . �'' �. ._ �; m Li)� Valuati on 1 ..(',—__*-- ', ... ❑Commercial/industrial Number of bedrooms: ® 1-and 2-family dwelling ❑Accessory building ❑Multi-family Number of bathroom.s.7.-.23.3 ❑Master builder ,I, ,/,.2 , 0 Other. Total number of floors: 2 � / 4Eq1 New dwelling area: aQ(V square feet Job site address/3y, �� 347SG,M�. /vG - " "i - " Garage/carport area: � square feet City/State/ZIP:Sherwood,OR 97140 1 s uare feet Project name: \Q-e__ _____--'re„/ /L J Covered porch area -�2 q j 1� , Ns Suite/bldgJapt_no.: � 1 Deck area: 0 square feet i a 9 Cross street/directions to job site: Other structure area: ', square feet Lot no.: 77 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 ; work indicated on this application. w 3 Si-e,-,'-'. `�" `� §� �'E�6 � � �2 ".. �3.'.�., "'.�Y�a;:-�kz �.•F;,x»' ..-���.�x,..,...,�a�.,,�r,�..,G.�:.,,�a.,,�,.,s-...,,:,.,..e, Valuation: S New Single Family Detached Construction Existing building area: square feet New building area: square feet �3 ‘9,,n4]!.:- t, : r :r Number of stones. ' ' , � Type of construction: Name:Polygon WLH,LLC Address:109 E 13th StreetOccupancy groups: City/State/ZIP:Vancouver,WA 98660 Existing: Phone:(360)695 7700 Fax(360)693.4442 New: fit- sf st d k � ' ,... . - .,,,. — :,-e.":::,,,''" i.,F:,,..,F,.,.,.,,-�.d»--„-,"--- ._.',-,-,,;;;A,. -,---:-T,---::, .�. . Business name:Polygon WLH,LLC Structural plan review fee(or deposit): Contact name:Maggie Gordon FLS plan review fee(if applicable): Address:109 E 136'Street Total fees due upon application: City/State/ZIP:Vancouver,WA 98660 Amount received Phone:(360)695.7700 ( Fax::(360)693.4442 E-mail:maggie.gordon@polygonhomes.com Commercial and residential prescriptive installation of 1 z x L : `' ! roof-top mounted PhotoVoltaic Solar Panel System. Business name: rl ed/Id-/eNf L y0 ill 1-14-e/LIE�`I IA)C.- Submit two(2)sets of roof plan with connection details m and fire department access,along with the 2010 Oregon Address:109 E 136'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 l Fax:(360)693.4442 State surcharge(12%of permit fee): $21.60 CCB lie.:207247 Total fee due upon application: $201.60— This permit application expires if a permit is not obtained Authorized signature: tV within 180 days after it has been accepted as complete. 1 *Fee methodology set by Tri-County_Buildmg Industry Iprint name:Maggie Gordon ( Date`.1S/11/15 Service Board. I:\Building\Permits\BUP-RESPermitAPP.doc 02/24/2011 440-4613T(11/02/COM/WEB) FiECE1\11E1,,11—‘ s I FEB n 2016 Naomi! i Cidy of Ti18 gard H � :: 13425 SW 11$1I Blvd.,TE _ t o7s Farm r I- 104 Pis�blevb,v 12sonm 503.718.2439 .Eau:543. 17,1' i i— t 0 1 A4 n! rd/` tis Ralaial iemat r Inrpertioff Lives 301639A173�"e r 16 s t - '11G1fi�' intoner; tr�dwrgov '.- ktE�.,a 4 �L ge3Rtethaft ' S eYsogdTaf " ,• l4� rt t1 ` �(t�PmErihlt tRfO�%Pr:PA gg, '5 '''.1';';`, �;Oa' A > x.,. -v 11 R1 - g'''. j.. > l eweonstruriioti 0 lltlditionfaltera Ion/reitlarement mase dheek an tkm aPPIY(submit 2 sets otp1111ran s,z «q '[J Demolition D serwwe at feederd00 amps orafma 0 spit ,;. Q Qit4r d>ag avertGmz stmus 1- �� . whine the a"vaibbla faak'cment [`7 Meeinar and hoatyards,. ' .� , ,X, ,,CAI ---y #>F #1 CtiC ts' _ sxee cto,onaenpaor/50vontor °Floatingbolldiags. fan4lyd4kssto,gron»d oraxaeedsl400O -C1.'3'1°1.44'6- t•mscatgtcuttual veltssrg 0 Cottrmerctal/in clustrial 0 Accessory building QMuitifatuily QMastertitrrider 0 Other amps fir sit other m ailetimR. tmdt . ©Firopamg, 0lmxt0ltattam of tSO KYA ar , .0041 sir*it4'# lAtiot4 AIOU LdCAttioN i3E:fl cncysynpn. Iaraet*par»tciydcri ed lab : Jail Site atldress: —1 `( Cl Addition of new motor load or ayatam. ItlOHPOrmort. D.A.;..E.,..1.2;K1_3", CitylState( tF:Sherttiootf Old$7140 0 six or MOM residential auk. acuptitCy. Snitrlbl °Scalar-carefaeirltie4 LiRtxmaiwualwhickp s,. d& pt•6: I Project nude: 1:11 ansidoestoaations. I Supply voltage for loom,tiian o$an§ea orfeeder600 amps or mare. 600 Yaks nemloat. Cross street/dlrections to Jab site n FEE It . : naisaa 3 o+y.1P.sa. I Told I^ I New residendei single-or mutt!-fasrtly dwelling malt , Subdivision:River Terrace i Lot#: Incindes attached garage , Tax pace1#: 1.000 .R or less 1 Is8.54 4 HESG Lt t O'eSY£ Ea_odd'i546sq;rt.or portion 33.92 I L'rmitxd'd7rergy,,realdensiai,' New Single Family faith abtwasti.R.) 75U0 2 Limited energy nsulir-famil}, 75.00 2 residential Mill above sq.ft) LL•PRt1> r f FDC+i`4fatt 1 I_J" TPNA .ttfc RenReueivatde Energy 0 seePage2 Name;Polygon Roma - Services r feeders installation,alteritior100 70or rekcation s 2obautpsc007tr or teas 7 2 1 Address:10916 IS'-,S# 201 amps to 4a4 amps 133.56 3' CiiylStaletZIF:Vancouver WA 98660' 401 pulpit)600 a#trtps 20634 2 601 reaps to 1 e amps 301.04 2 t, Phone:(360)695-7700 Fax:( ) Over 1,000 amps or volts 552.26 2 ,, Ett3aiL Temporary services or feeders installation,alteralia a,and/or s relocation Owner installation:The installation is being made on property that 1 own wirikit is not 200 ampere less 5936 t intended for sale,lease,root,or exchange,according to QRS 447,449,670,and 701. 201 maps to 400 anus 125.08J 2 Cl Wuei signature: Date: • 401 arnpsto599#mPs r1(t 1{ 768.55 4 2 AprP NT_ Branch circuits—new 0 CONTACT PERSON ,S+kierattaa,or extension per Ravel A Pee ferbimrch=nits uftA % Business salve:Garner Eiee#rie Washington,LLC abaveservice or feederfee. each branch rdreuit 7.42 g Contain name:Bill Daniels B.Fee Re—branch obtain wave Address:6101 NE St Johns Rd service tirfixdcf fee,first branch circuit 56.18 2 City/State/ZIP:Vancouver WA 98661 Each add'l branch circuit 7.42 2 • Miscellaneous(service or feeder not included) Phone:(253)320-1657 I Fax::(; ) Each manati<emmI-ocmpdniar Email bdanielsa( weasa.cam dwelling,serViecanilfotlimIer .8 2r. Reconnect only 57.84 2 I CONTRACTOR, • Penna or litigation circle 67.84 2r Business nam Garner Electric Washington,LLC Sign oromline lighrjng 67.8¢ a Address:6101 PTE St Johns Rd siva)eirceiiti js)or•rmited{nargy Panel,attention.arwcbxtsion, L1 See.Page2 2 City/State/LIP:Vancouver WA 98661 .Each additional.Inspection over allowable in soy of the above 2 Additional inspectionQ hr min) .6,351iv Krone: (253)320,1457 01637 (Pale.( ) Investigation(1 rami) 90.00/ltr Email:bdaniels(r gweusa,ram Mousingplant(1 hr min) 78.18/hr Inspections for whleii no foo is COB Lie.; 01158 1 Electrical LIe.: 208174 I Sttprv:Lice 44965 iume eethrflrted(t hf mtm) 9l."im Suprv:E1tettician-signature,required; 1 i P p j,— 1rt4 P 1i1botal; , j l subtotal; Printttattie:Joan P Albert Date: i ❑Plan Review Requlibd(234�a 0(p4aatlt fro): Staiew?csargc{12°r nfperathfee): li AI/Mori/adsignature: ,. TQT LFERMj rE This permit applicationeepiresIra'emit boat obtained within ta0 I Print name: BRiDaniels 1 Dale: VI'act j ' days after itIon been accepted ascaopiate, • Number aftns tta seal Paras ,p a_ERE1aa Ree 050712et5 416-s6{Sr{illeStCOAirivEO> t 1°as a8aived Pa`4e{tfal... I • i i , I i Plumbing Permit Application Building Fixtures Ra f V City of Tigard rr'' ��}} nn [ iiewDgeIN kit s ]3TZS,SW I lal{Blvd,Tigard,OR 9122 D V 2U O�petit No„ ' Phone: 503318.2439 Fax: 503.598.1960 Dategy: gl Page pp h s Suns g 2 for inspection Line. 503.639 4175 �a p f� 1,•,1� � ,��'1 Dart RradyBy Su tement+ul information 1 i \11 D Internet www.tigard-or.gov ' l t i ' „ t,c a Nonhed/Method ,, ° • For special information use checklist, ID New construction III Demolition Description I QtY- I Ea' I Total ❑Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft for each utility connection) SFR(1)bath 312.70 s c_-...,14,•47-‘, -,,, 4r s Y,o.. ( ) 437.78 sw . amu SFR Z bath IIII 1-and 2-family dwelling I Commercial/industrial SFR(3)bath 50032 Accessory building Q Multi-family Each additional bath/kitchen 25.02 0 Master builder 0 Other Fire sprinkler( sq_ft) . Page 2 ..., 1 y, ; 't t.. ; ..�..: Site utilities: • � "" Catch basin or area drain 18.76 1 (7_ ' a • Job site address: Drywell;leachtine,or trench drain 18.76 Ci lState/Z1P: Ci''1, OFooting drain(no.linear ft: ) Page 2 Suite/bldg./apt.no.: I Project name: Rkv-e,('r 'te. � Manufactured home utilities 50.03 Manholes 18.76 Cross street/directions to job site: 1 8.76 Rain drain connector Sanitary sewer(no.linear ft ?age:_) 2 Storm sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.:_) Page 2 Lot no.: Fixture or item: Subdivision: $aek#low preventer 31.27 Tax map/parcel no. actwacra 1231 � �� � � � ��� .� �� � �, . Clothes washer 25.02 Dishwasher 2.5.02 Drinking fountain 25.02 Ejectors/sump 25.02 - .- :a Expansion taxilc �..e .: LZSI r .4: ° sl�t.,.A s ,� < ...: 25.02 1-.Am clsewcr cap Name: ,C)' t/L.� _ Floor dratultloor sink/hub 25.02 Address: 1 : -) Garbage disposal 25.02 t/.. � . .vll City/State/ZIP: �-Q� � � � -� � ao(DrrHose;bib 25.02 Phone:( Le •C11. - 1-0 Fax:( ) Ice maker m 51 ` -- . '1,4,--&,,,,z; Inerceptorcase trap 2 ` s a _ .. •e ". w .' . Medical:gas(value:s ) Page 2 Business name:. ,i,Yt.-t e.m. 'l ) v(L,L.-.CY1 s ! Lk,1'_ Primer ".3 12.51 Contact name. 0._y: V,i�wt�' #'Y^tf•Sri., Roof drain(commercial) 12.51 Address: Sink/basin/hwatory 25.02 Solar units(potable water) 62.54 VK City/State/ZIP: �1 eh, t ave L t t Tub/shower/shower pan 12.51 Phone:lff"I( ) ; g Fax::( ) • Urinal . 25.02 Email K -u s ort p ♦ ' Pl.s 0 s is f.11 Water closet 25.02 Business name: Water pipin WV 56.29 {C,,,.1--s,,•l t' �.._X1^�t!a,-i'\ ��OA Yv'�r'i t�[� �..3 Other: 25.02. Address: IS r 13 7 . . - Subtotal tZ 3'/ 'tom 3 crS TLS !d Minimum permit:fee:. $72.50 Phone:(G7/) I-0141 -4t11 I Fax:( ) - Plan review (25%of permit fee) I` CCB ^r Pluinbing Luc.not I j State surcharge(12%of permit fee) Authorized signature: PERMIT FEE - ' - / This permit application expires Ifs Is not obtained within 188 days. I Print name: t C ..1(<_ " (C.}4 Q,1M 1, I Da 9 1.t r ager it has best a as complete ( 'Fee methodology set by Tri-County Building Industry.Service Board :t:tt3aitdm ern jr,PL3,IL-PcactApp.duc 10101109 40.4616T(10?01CO-M/WEB) Mechanical Permit Applieal ' lam'i''',& '''''''1\iFD 111111111111111211111M11111111111111 City of Tigard Rate.43 d Oatei ,l—(T / C7L)..2 rl' v Permit l ta._ II13125 SW Hall Blvd.,Tigard,OR 97223 ptd5 Review re Phone: 503.718?439 Fax: 503.598.t 961 F EB 0 3 2016 Dateilly: Other Penni(: t tion Line: 503.639.4175 D e Ready./Hy: twit' B[ See Page 2 for ? ? entat Information _ g l; $ r, :t q. �,z£t' l�totifiedlt fcthaF: �pt� tnterttct www tr ard-or ov � � �f t''� � ° t"F � \rs et& 4 r � � g ig � Tr't� s�*► based o*a� � � ,H. r ., A ,t:. or € _ _� .>,, _. . �. ,..�, � .s m.�_ �- �. _.., nkat permit fees* ren the value of the work Egi New construction 0 Addition/alteration/replacement performed,Indicate the value(rounded to the nearest dollar)of all El Demolition Q Other. mechanical materials_equipment,labor,overhead.and profit. -. s. Value: alue S `i x ' 05.LA , -it4� ` ^ A sat,, - . c'."', W � �" 9 i.., 4tamx -,,,S,-1,;" a i a , • tl•.. �� a.4.,..,. , I-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special informalian roseciteektru El Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total - -. 1 „. a N xz; `': x;% Heatinecooltu : 7 r ' '. . -rz. .� .: : 46. 3 4` f `, Air conditioning Job site address: 1 i2 )> � Furnace l00 000 BTU(ducts+vc�sts) 46.75 ' City/State/ZIP: OR C11-10 Furnace 100,000+BTU(duets/vents) 54.91 a Heat pump 61.E Suite/bldi /apt.no.: Project name:River Terrace pact work 23.32 Cross street/directions to job site: Hydrunic hot water system 23.32 Residential boiler(radiator or hydron ) 23.32 Unit heaters(fuel-type,not electric), in-wall.in-duct,suspended,etc. , 46.75 Fluetvent for any of above 23.32 2 Other: 23.32 Subdivision:River Terrace Lot no.: 7 Other fact apPlutarts _ Tax map/parcel no.: Water heater 23.32 �- t., Gas fireplaceiinsert 3339 s.' .tx e ,e 1 >,h... ,°.'1", Flue vent for water heater or gas HVAC fireplace 2332 Log lighter(gas) 2332 Wood/petiet stove: _33,39 Wood futplaccfmscrt 23.32 . Chimney/lincrltlueivent 23.32 -xa.:r ,x.� .a,� _> ,za �,.. :int=_ __.. _.. 2332 ::'.. � . _ e�, „_ -- ".- Environmental exhaust and ventilation: Name:Polygon Range hood/other kitchen 33.39 equipment Address:109 E i3u`St.Suite 200 Clothes dryer exhaust 3339 City/State/Z,IP:Vancouver,WA 98660 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 I Phone:(425)586-7700 Fax:( ) Atticicrawlspace fans 2332 Other 23.32 Fuel piping: Business name:Apes Air LLC 514.15 Cor first four;S4.03 for each additional Contact name:Staci Hay Furnace.etc. Gas(teat pump Address:2219 W.Main St.Suite 197-272WatUsuspendedlunit heater City/State/ZIP:Battle Ground,WA 98604 Water heater Phone:(360)342-8109 Fax:;:(360)326-176e9 Fireplace _ Ranee E-mail:staeili®apexairco.com Barbecue 4r1 °".t: 1. a = Clothes r . dryer(gas), ..._ . Business name:Apes Air LLC Other. ,rl " r - , .� Address:220 W.Main St.Suite 1.07 272Subtotal City/State/ZIP:Battle Ground,WA 98604Minimwn permit fee($90.00) Plan review(25%of permit fee) 1 Phone:(.3603 342-8109 Fax:(360)326-1769 State:surcharge(12%of permit fee) AP/ < _TOTALPERM.IT FEE — CCB lie.:.:283034 .f This permit teppikatlav empires i€a permit is neat obtained within 180/� days after it hss bea+:eeepted ate eereaptett. I Authorized si u .. ,. • Pee methodology set by Tri-Ooenny Building indtefary Service Bond Priem name:Sta€i hay r Date:1/28/2016 l 133odtroved'exmitsWEC FeimitA d°sat13doe 440-4617r{tt. rl}3iti`FB1 c City of Tigard COMMUNITY DEVELOPMENT DEPARTMENT T i ca R o Building Permit Review — Residential Building Permit #: /7S "7- 20716, PF Site Address: S S cc /\ve- Project Name: v e rack_ Lot #: 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review Proposal: kie.) SE ct 4-cka,a hC M J'Verify site address/suite# exists and active in permit system. Wr River Terrace Neighborhood: ❑ No I 'Yes,See River Terrace Review Addendum Attached Site Plan Elements: // 'Three(3)copies of site plan ..,BExisting structures on site Site plan must be on 8-1/2"x 11"or 11 x 17"paper `ootprint of new structure(including decks)with finished Drawn to scale(standard architect or engineer scale) floor elevations 'North arrow (kLitility locations (required for new,may apply for additions) [ Site address,project or subdivision name and lot number )2tocation of wells/septic systems C Applicant information(name and phone number) Jtxisting trees to be retained with drip line,and tree 1 1,ot dimensions and building setback dimensions protection measures fot 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 1Vroperty corner elevations(2 foot contour lines if more than 4 foot differential) Clean Water Services—Service Provider Letter(lot platted prior to 9/10/1995): Required: ❑ Yes,applicant was notified ,11?-No Received: ❑ Yes ❑ No Public Facilities Improvement(PFI) Permit: Required: firYes,applicant was notified ❑ No Applied For: *-Yes ❑ No,stop intake Land Use Case#: 0, is - ( 005/S t_R,;2 u tg—pb Do b k'Zoning: R 7 4- - C Required Setbacks: Front I?, Rear /O Side `3 Street Side — Garage 0 IN-- Landscape Requirement: aO % [-Lot Coverage Maximum: jt:) 0/0 ,L Building Height: Maximum Height I'J/P r u}-- Actual Height k Visual Clearance pe l rn� E zl E Easements 'Sensitive Lands: ❑ Yes arNo Type Urban Forestry Plan onditions "Met"prior to issuance of building permit otes: Pl0_4n ic �: d u1S 3 7 S41' ndt MusF li rl'v -4 ��r� t:✓ -to pe Y�^ i 3.(Ott 1 CJ Approved By Planning: 04,V, u L, t Date: c1 - - ((:-, Revisions (after Building Submittal only) Reviewer Date Revision 1: ❑ Approved ❑ Not Approved Revision 2: ❑ Approved ❑ Not Approved Revision 3: ❑ Approved ❑ Not Approved I:\Building\Forms\BldgPermitRvw_RES_091216.docx I er • a Building Permit Submittal Original Submittal Date: c9,- A Site Plans: # 3 Building Plans: # `� Building Permit#: R Enter building permit#above. Workflow Routing: []'Planning Rngineering hermit Coordinator e Building Workflow Sign-off: 1:1-- Sign-off for Planning(include notes from planning review) Route Application Documents: Er-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: t IAikDate: 2`-c�/A2 its Engineering Review 7Er-Slope at building pad: /4A ❑ Conditions "Met" rior to issuance of buildingpermit p ❑ Easements (encroachments)per engineering conditions of approval and plat El Water Quality/Quantity Facility: Assess Water Quality Fee in-lieu: El Yes ❑ No Assess Water Quantity Fee in-lieu: ❑ Yes ❑ No LIDA Facility on lot: El Yes El No El NOT Approv d y Engineering: Date: Notes: : ZfrsrQ"' 4 i Y —" Approved by Engineering: i4Z _2)tDate: yj— /4 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 Cl Approved,NOT Released: Date: Notes: Revisions (after Building Submittal only) Revision Notice 1: Date Sent to Applicant: Revision Notice 2: Date Sent to Applicant: Revision Notice 3: Date Sent to Applicant: SDC Fees Entered: Wash Co Trans Dev Tax: lAr.Yes El N/A Tigard Trans SDC: R. Yes El N/A Parks SDC: L.� Yes ❑ N/A -ArOK to Issue Permit b k _J-0 1 S S( -I ( 64- 3 (,'4 - f O a • Approved by Permit Coordinator: a„,4 c Date: I 0 • -7 - I:\Building\Forms\BldgPermitRvw_RES_091216.docx 's • City of Tigard .1111 n COMMUNITY DEVELOPMENT DEPARTMENT ■ r 1 c A R D River Terrace Building Permit Review Addendum Building Permit #: X157 0` -003 Site Address: E 34(:), $tAi 66 Project Name: vc✓' -Te ry eCIL N Lid Lot #: 7 7 (New dwelling=subdivision name;Addition or Alteration=last name of owner) Planning Review of River Terrace Plan District Design Standards (18.660.070.1.): Is the project subject to the plan district design standards?jki Yes ❑ No 1.Articulation: a minimum of 1 element per each street-facing facade that has 30-60 ft. of frontage.An additional element required for lots with over 60 ft. of street frontage shall be provided every 30 ft. Porch min. 5 ft. dee Balcony w/ access 2 Window Projection Vertical Wall Offset a p ft. deep min. 2ft., 5 ft.wide min. 2 ft., 6ft.wide Gabled dormer ❑ El ❑ ❑ 2. Eyes on the street: a minimum of 12%of each street facing facade must include windows or entrance doors. Percentage Shown: / cl 0 3. Entrances:At least one entrance must meet both of the following standards: AMax. 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 a-No If yes,all the following apply: ❑ 25 sq.ft. min. ❑ One street facing entry ❑ 12 ft.max.roof above floor of porch El 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: Covered porch min. 5 ft.wide x 5 ft. deepecessed entry area min. 5 ft.wide x 2 ft. deep ( Wall offset min. 16 inches 0 Dormer min.4 ft.wide Roof eave min. 12 inch projection 'Roof offset min. of 2 ft. ❑ Roof shingles either tile or wood ,j,W Gable,hip or gambrel roof design El Roof pitch oriented south min. 500 sq. ft. ❑ Horizontal lap siding min. 3-7 inches wide ❑ Accent siding min. 40% of street façade El 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 façade 5. Garages and Carports:May face the front or side lot line on a corner lot. Setbacks: No closer to front or side lot line, than longest street-facing wall. Yes ❑ No. If No (Check one): ❑ 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) _,/ C712-foot-wide garage door 12; Plumbing Permit Applica E V Building Fixtures City of Tigard NOV 3 2016 /// 7 ,/‘;,"/"A2-- PermitNoM S I(, -'OO Iii e 13125 SW Hall Blvd.,Tigard,OR 97223 3 �y ��yy • Phone: 503.7182439 Fax: 50 (Itl TIGARD R Otter Permit No.: Inspection Line: 503.639.4175 1 p�Ready/By. runs: See Page 2 for Internet www.tigard or.gov BUILDING D�r 1�31kJL` Notilled/Metbod Supplemental Information :. -.: TYPE-OF:WORK-- ..-.-. .,--:::7,- • :FM . ®New construction - ❑Demolition For special information use checklist Description I Qty. I Ea. I Total 0 Addition/alteration/replacement 0 Other: New 1-2-family dwellings(includes 100 ft.for each utility connection) - CATEGORY OF CONSTRUCTION' SFR(I)bath 312.70 ®1-and 2-family dwelling 0 CommerciaVmdustrial SFR(2)bath 437.78 SFR(3)bath 1 50032 ❑Accessory building 0 Multi-family Each additional bath/kitchen 25.02 ❑Master builder 0 Other: Fire sprinkler(_____sq.R) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: /3"l I L Sw C..(,,'tS��(�( {J Cabasin or area drain 18.76 VW Drywell,leach line,or trench drain 18.76 City/State/ZIP:Tigard,OR 97224 Footing drain(no.linear ft.: ) Page 2 Suite/bldgJapt.no.: Project name: il /tWitte NIT 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 Stone sewer(no.linear ft.: ) Page 2 Water service(no.linear ft.: ) Page 2 Subdivision: A(/4 :6yran� / 1 iw �t no•:11 Fixture or item: Tax map/parcel no.: I I• Backflow preventer 1 31.27 DESCRIPTION OF WORK' Backwater valve ' 12.51 (A)ntr� C-114/1C Dlota washer 25.02 Dishwwasherr25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® `PROPERTY OWNER ( 0 TENANT Expansion tank 12.51 Name:ADVL Land Holdings,LLC Fixture/sewer cap 25.02 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 ®_APPLICANT 0 CONTACT PERSON Interceptor/grease trap 25.02 Business name:William Lyon Homes,Inc Medical gas(value:$ ) Page 2 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 E-mail:Angela.Grajewski@polygonhomes.com Urinal 25.02 Water closet 25.02 CONTRACTOR Water heater 37.52 Business name:Malmedal Enterprises Inc. WaterP�P�g�t WV 56.29 Address:PO Box 207 Other: 25.02 City/State/ZIP:Banks,OR 97106 Subtotal Phone:(503)324-0759 Fax:(503-)324-0580 Minimum permit fee: $72.50 - Plan review (25%of permit fee) CCB Lie.:102535 Plumbing Lic.no.:34-27611B State surcharge(12%of permit fee) Authorized signature: G TOTAL PERMIT FEE Print name:Carolina Malmedal Date:04/25/2016 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 Budding Industry Service Board. I:\Building%Peimits\PLMU•PernutApp.doc 10/01/09 440-4616T(10512/COM/WEB) City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13412 SW SATSUMA AVE, BEAVERTON, OR, April 19, 2017 at 1 :11 :59 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00388 Inspection Type: Inspector: 199 Electrical final David Young Result: FA I L Comments: Provide missing smoke detector in bonus room. Correction for AC whip complete. Violation Summary: Inspector Contractor City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 13412 SW SATSUMA AVE, BEAVERTON, OR, April 20, 2017 at 2:32:07 PM 97007 Record Type: Record ID: Residential - Master Permit MST2016-00388 Inspection Type: Inspector: 199 Electrical final David Young Result: PASS Comments: Violation Summary: Inspector Contractor